Individual
KENNETH MING KIN CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1722 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868-3351
(434) 848-4766
Mailing address
1722 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868-3351
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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