Eldridge, Jaclyn Provau

Eldridge, Jaclyn Provau is an sole proprietor health care provider with primary practice located at 235 Dunlop Farms Blvd , Colonial Heights VA 23834-1792. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Eldridge, Jaclyn Provau can be contacted via phone (804) 520-0050.

Contact Information

Primary practice address
235 Dunlop Farms Blvd Colonial Heights VA 23834-1792
Phone: (804) 520-0050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119005302 Virginia

Profile Details

NPI number 1649579137
LBN Legal business name Eldridge, Jaclyn Provau
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2011
Last updated Dec 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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