Individual
JULIANNE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 BART ST, PORTSMOUTH, VA 23707-3231
(757) 572-8208
Mailing address
5153 N HARBOR RD, SUFFOLK, VA 23435-1418
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005560
VA
225X00000X
Occupational Therapist
15096
CA
225X00000X
Occupational Therapist
4460
SC
225X00000X
Occupational Therapist
46TR00675300
NJ
225X00000X
Occupational Therapist
9568
NC
Other
Enumeration date
07/13/2015
Last updated
04/05/2017
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