Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0119008272 | VA |
NPI | 1295408979 |
---|---|
Provider Name | Jessica Ruth Lowman |
First Address | Hampton, VA 23669-1091 |
Second Address | Richmond, VA 23233-7632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2021 |
Last Update Date | 28/07/2021 |