Individual
VIELKA A FONDEUR ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 PRINCESS ANNE, VI, VA 23462-7419
(757) 495-4211
Mailing address
234 BRONTE TRCE, VIRGINIA BEACH, VA 23462-7419
(917) 586-6349
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
0131002616
VA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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