Individual
JAMES ROENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2492 FALCON CRES, VIRGINIA BEACH, VA 23454-1218
(757) 715-7417
Mailing address
2492 FALCON CRES, VIRGINIA BEACH, VA 23454-1218
(757) 715-7417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001333
VA
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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