Individual
MEREDITH GRACE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
Mailing address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0131000696
VA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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