Individual
MRS. JEANNE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 N MAIN ST, SUFFOLK, VA 23434
(757) 925-6764
Mailing address
100 N MAIN ST, SUFFOLK, VA 23434-4529
(757) 923-5250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003753
VA
Other
Enumeration date
01/09/2014
Last updated
11/09/2018
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