Individual
JENNA ST AUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2841 HARTLAND RD STE 403, FALLS CHURCH, VA 22043-3500
(703) 646-2250
(703) 991-5649
Mailing address
PO BOX 2901, MERRIFIELD, VA 22116-2901
(703) 646-2250
(703) 991-5649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009811
VA
225X00000X
Occupational Therapist
09212
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119009811
OCCUPATIONAL THERAPY LICENSE
VA
05
—
30017677340001
—
VA
Enumeration date
03/25/2021
Last updated
04/17/2024
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