Individual
MRS. JENNIFER MARIE MISIURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
2600 BARRACKS RD, CHARLOTTESVILLE, VA 22901-2121
(434) 963-4160
Mailing address
1245 AMBER RIDGE RD, CHARLOTTESVILLE, VA 22901-9543
(434) 823-1828
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004070
VA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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