Individual
LAURA LLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 RAVENSTONE DR, CHESAPEAKE, VA 23322-9119
(619) 888-5262
Mailing address
521 RAVENSTONE DR, CHESAPEAKE, VA 23322-9119
(619) 888-5262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002412
VA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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