Individual
JENNIFER PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4840 WALLER RD # 200, RICHMOND, VA 23230-2912
(804) 893-5010
(804) 412-8105
Mailing address
7404 PENNBROOK CT, CHESTERFIELD, VA 23832-8276
(801) 949-2184
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002797
VA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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