Individual provider · Type 1 NPI

Jaclyn Provau Eldridge, OTR/L

Occupational Therapist · Colonial Heights, VA

NPI number 1649579137 Active

Practice location

235 Dunlop Farms Blvd
Colonial Heights, VA 23834-1792

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119005302 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1649579137

Jaclyn Provau Eldridge, OTR/L's National Provider Identifier is 1649579137, issued on Mar 23, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Colonial Heights, VA. The record was last updated on Dec 15, 2014.