Individual
LORINNDA MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
Mailing address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000100
VA
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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