Individual
CONSUELA DONYEA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1201 BOAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
431 MICHAUX BRANCH TER, MIDLOTHIAN, VA 23113-6862
(559) 367-8452
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
51728
VA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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