Individual
JESSICA ASHLEY KRUSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(175) 759-3534
Mailing address
1358 HOCKETT RD, MANAKIN SABOT, VA 23103-2600
(757) 868-7349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-002042
VA
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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