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Individual

MRS. JENNIFER LINDSEY HARLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, CHT

Contact information

Practice address
131 JENNICK DR, COLONIAL HEIGHTS, VA 23834-4905
(804) 526-5888
(804) 526-5401
Mailing address
13000 RIVERS BEND BLVD, STE D, CHESTER, VA 23836-8632
(804) 571-5106
(804) 530-1857

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119000261
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659304293
VA
01
P00401744
RAILROAD MEDICARE
VA
Enumeration date
07/08/2006
Last updated
12/30/2016
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