Individual
MRS. ANITA LOUISE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
(757) 473-3580
Mailing address
4412 CLYDE ST, VIRGINIA BEACH, VA 23455-2834
(757) 460-9446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001251
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841271830
GROUP NPI
VA
Enumeration date
10/17/2011
Last updated
10/17/2011
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