Jaclyn Provau Eldridge, OTR/L in Colonial Heights, VA - Occupational Therapist

Jaclyn Provau Eldridge, OTR/L is a Occupational Therapist based in Colonial Heights, Virginia. Jaclyn Provau Eldridge is licensed to practice in Virginia (license number 0119005302) and her current practice location is 235 Dunlop Farms Blvd, Colonial Heights, Virginia. She can be reached at her office (for appointments etc.) via phone at (804) 520-0050.

NPI number for Jaclyn Provau Eldridge is 1649579137 and her current mailing address is 235 Dunlop Farms Blvd, Colonial Heights, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649579137.

Contact Information

	Jaclyn Provau Eldridge, OTR/L
	235 Dunlop Farms Blvd, Colonial Heights, VA 23834-1792
	(804) 520-0050
	Not Available

Healthcare Provider's Profile

Full Name	Jaclyn Provau Eldridge
Gender	Female
Speciality	Occupational Therapist
Location	235 Dunlop Farms Blvd, Colonial Heights, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1649579137
Provider Enumeration Date: 03/23/2011
Last Update Date: 12/15/2014

Medical Identifiers

Medical identifiers for Jaclyn Provau Eldridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649579137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0119005302 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Provau Eldridge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Provau Eldridge, OTR/L 235 Dunlop Farms Blvd, Colonial Heights, VA 23834-1792 Ph: () -	Jaclyn Provau Eldridge, OTR/L 235 Dunlop Farms Blvd, Colonial Heights, VA 23834-1792 Ph: (804) 520-0050

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Occupational Therapist in Colonial Heights, VA

Dana Hutcherson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Dunlop Farms Blvd, Colonial Heights, VA 23834 Phone: 804-520-0050
Dion Agada, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3611 Boulevard, Colonial Heights, VA 23834 Phone: 804-526-2816
Ms. Angela Michelle Miller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Dunlop Farms Blvd, Colonial Heights, VA 23834 Phone: 804-520-1198
Mark Sloan Williams, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Dunlop Farms Blvd, Colonial Heights, VA 23834 Phone: 804-520-0050
Mrs. Jennifer Lindsey Harless, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Jennick Dr, Colonial Heights, VA 23834 Phone: 804-526-5888 Fax: 804-526-5401
Janelle Mae Ducusin, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 107 Bluffs Dr, Colonial Heights, VA 23834 Phone: 804-926-9006

Jaclyn Provau Eldridge, OTR/L - Occupational Therapist in Colonial Heights, VA