Individual
JASON BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
300 TWINRIDGE LN, NORTH CHESTERFIELD, VA 23235-5282
(804) 593-5181
Mailing address
9260 STONY CREST CIR APT 737, RICHMOND, VA 23235-6897
(571) 216-8807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008749
VA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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