| NPI | 1013114784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN WHITAKER Owner 804-794-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119001262) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |