Individual
MRS. CAROLYN YATES JUERGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
102 PASPEHEGHE RUN, YORKTOWN, VA 23693-2714
(757) 867-9095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004470
VA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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