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Individual

JENNIFER-ANN SALES COATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
20041 RIVERSIDE COMMONS PLZ, ASHBURN, VA 20147-5151
(703) 574-3010
(703) 810-5323
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010428
VA
225X00000X
Occupational Therapist
056008044
IL

Other

Enumeration date
06/19/2007
Last updated
06/17/2024
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