Individual
JYRONNE MONDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
906 HALEDON RD, CHESAPEAKE, VA 23320-6043
(860) 823-9458
Mailing address
906 HALEDON RD, CHESAPEAKE, VA 23320-6043
(860) 823-9458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001976
VA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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