Individual
SHENNA URQUHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14311 BRANDERMILL WOODS TRL, MIDLOTHIAN, VA 23112-4124
(804) 744-1173
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-002339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131-002339
LICENSE NUMBER
VA
Enumeration date
07/15/2022
Last updated
07/15/2022
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