Healthcare Provider Details

I. General information

NPI: 1427953553
Provider Name (Legal Business Name): EMILY ANNE NUNN MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5604 VIRGINIA BEACH BLVD STE 101
VIRGINIA BEACH VA
23462-5631
US

IV. Provider business mailing address

3451 BUDD CT
NORFOLK VA
23518-5709
US

V. Phone/Fax

Practice location:
  • Phone: 757-319-4142
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119010755
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: