Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN PROVAU ELDRIDGE, OTR/L
Active Sole ProprietorJACLYN 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 BLVDCOLONIAL HEIGHTS, VA, 238341792Browse 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.