Individual
JANELLE MAE DUCUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 BLUFFS DR, COLONIAL HEIGHTS, VA 23834-1822
(804) 926-9006
Mailing address
107 BLUFFS DR, COLONIAL HEIGHTS, VA 23834-1822
(804) 926-9006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09816
MD
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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