Individual
JENNA VIRGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 736-1864
Mailing address
5045 FRUITVILLE RD, SUITE 145, SARASOTA, FL 34232-2268
(941) 377-9361
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
LA301266
LA
Other
Enumeration date
04/10/2013
Last updated
04/28/2021
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