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1336655166
JORDAN HENNESSEY
VIRGINIA BEACH, VA
NPI
1336655166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131001709)
Enumeration Date
2017-12-15
Last Update Date
2017-12-15
Business Address
Ms. JORDAN HENNESSEY COTA/L
6401 AUBURN DR
VIRGINIA BEACH, VA 23464-3601
Phone number: 757-420-2512
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Mailing Address
Ms. JORDAN HENNESSEY COTA/L
3516 ARGO CT
VIRGINIA BEACH, VA 23453-1974
Phone number: 804-310-6853
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