Individual
MS. PAMELA DIANE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4428 PHEASANT RIDGE RD, ROANOKE, VA 24014-5219
(540) 400-6430
(540) 491-9277
Mailing address
6343 LOGANS LN APT 3414, LYNCHBURG, VA 24502-5030
(817) 716-6306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002537
VA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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