Individual
JESSICA L VANVALKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
66 JOHNSON ST, LAKE PEEKSKILL, NY 10537-1309
(845) 284-2321
Mailing address
66 JOHNSON ST, LAKE PEEKSKILL, NY 10537-1309
(845) 284-2321
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/29/2005
Last updated
11/04/2008
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