Individual
JESSICA JILL JEREMIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(336) 693-8702
(757) 496-1136
Mailing address
118 BURLEIGH AVENUE, NORFOLK, VA 23505
(336) 693-8702
(757) 496-1136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004816
VA
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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