Individual
JENNIFER LYNN LE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
2800 WELLFORD STREET, SUITE 202, FREDERICKSBURG, VA 22401
(540) 373-6320
(540) 373-6385
Mailing address
421 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405
(540) 373-3031
(540) 373-9174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003403
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147197
ANTHEM BCBS
VA
01
—
2129209
MAMSI
—
Enumeration date
11/17/2005
Last updated
07/08/2007
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