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General NPI Number Information
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NPI Number | 1598384208
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Entity Type | Organization
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Legal Business Name | MY VIRTUAL OT, LLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 316 LANCASTER GATE DR APT 201
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-6894
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Country | US
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Telephone | 434-989-4317
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Fax |
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Provider Business Mailing Address
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Address Line | 316 LANCASTER GATE DR APT 201
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-6894
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Country | US
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Telephone | 434-989-4317
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | ELIZABETH CORINNE MCLEES
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Credential | OTR/L
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Telephone | 434-989-4317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number |
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License Number State |
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