Individual
MICHELLE MARIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 PRINCESS ANNE RD, VA BEACH, VA 23462-7905
(757) 377-7591
Mailing address
608 S PINE GROVE RD, VIRGINIA BEACH, VA 23452-3023
(757) 377-7591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002647
VA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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