Individual
JACQUELINE JAGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
201 EPPES ST, HOPEWELL, VA 23860-2717
(617) 288-8749
Mailing address
201 EPPES STREET, HOPEWELL, VA 23860-2279
(617) 288-8749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006265
OH
225X00000X
Occupational Therapist
Primary
0119005635
VA
Other
Enumeration date
09/25/2009
Last updated
06/25/2013
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