Individual
ALEXANDRIA D EATMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
608 JASPER AVE, RICHMOND, VA 23222-1127
(252) 452-4328
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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