Individual
MONICA IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2147 OLD GREENBRIER RD, CHESAPEAKE, VA 23320-2635
(757) 606-0531
Mailing address
270 MERRIMAC TRL APT A, WILLIAMSBURG, VA 23185-4627
(774) 392-4393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008448
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119008448
OCCUPATIONAL THERAPY LICENSE
VA
Enumeration date
12/05/2020
Last updated
12/05/2020
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