Individual
JAN TRITTIPOE HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11901 REEDY BRANCH RD, CHESTERFIELD, VA 23838-4235
(804) 638-5047
Mailing address
4905 DICKENS RD STE 106, RICHMOND, VA 23230-1953
(804) 638-5047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002054
VA
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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