JACKIE GONSALVES, O.T.
Occupational Therapist
Active
Individual
NPI: 1760423073
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | 0119004321 (VA) |
Frequently Asked Questions
NPI 1760423073 is the National Provider Identifier for JACKIE GONSALVES, O.T., a Occupational Therapist provider located in Mechanicsville, VA. This NPI was enumerated on June 9, 2006.
JACKIE GONSALVES, O.T. practices at 8254 ATLEE RD, Mechanicsville, VA 23116.
Quick Facts
- NPI
- 1760423073
- Type
- Individual
- Enumerated
- Jun 9, 2006
- Last Updated
- Jul 11, 2007
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