Individual
MRS. JENNIFER NIMMO MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3585 BRAMBLETON AVE, ROANOKE, VA 24018-6521
(540) 776-1029
Mailing address
6219 ASHMONT DR, ROANOKE, VA 24018-5285
(540) 204-6325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000846
VA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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