Individual
JANINE SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(757) 496-1690
Mailing address
3105 SAND PINE ROAD, VIRGINIA BEACH, VA 23451
(757) 496-8793
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1076771
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979907
—
VA
Enumeration date
05/03/2007
Last updated
10/06/2009
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