Individual
JACOB LOUIS ESTIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
2248 AVERILL DR, CHESAPEAKE, VA 23323-6824
(540) 494-9676
Mailing address
225 CEDAR RD, CHESAPEAKE, VA 23322-5511
(540) 494-9676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008775
VA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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