MISS Jacquelina Otilia Tatum

NPI #1154886539 in Richmond, Virginia

Provider Information

NPI Number
1154886539
Entity Type
Individual
Name
MISS Jacquelina Otilia Tatum
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Mental Health
Enumeration Date
Feb 9, 2019
Last Updated
Feb 9, 2019

Practice Location

Address
6802 PARAGON PL STE 410
ZIP Code
23230-1655
Phone
(919) 358-3730

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - Mental HealthMental Health

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