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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN PROVAU ELDRIDGE, OTR/L

Active Sole Proprietor

JACLYN PROVAU ELDRIDGE, OTR/L is a Occupational Therapist healthcare provider located in COLONIAL HEIGHTS, Virginia. NPI 1649579137 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COLONIAL HEIGHTS, VA

Registration Details

NPI Number
1649579137
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2011 (15.360241790307 yrs)
Last Updated
Dec 15, 2014
License
0119005302 (VA)
Sole Proprietor
Yes

Practice Information

Address
235 DUNLOP FARMS BLVD
COLONIAL HEIGHTS, VA, 238341792
Browse VA providers · Browse ZIP 23834
Phone
8045200050
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in COLONIAL HEIGHTS, VA

Name Credential NPI
DANA HUTCHERSON OTR 1023295680
MARK SLOAN WILLIAMS MS OTR/L 1306139902
MS. ANGELA MICHELLE MILLER OTR 1225472889
DION AGADA MOT, OTR/L 1124652524
JANELLE MAE DUCUSIN 1730806845
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.