MEDICARE: VIVIAN HO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	0119011008	VA

General Provider Information

NPI Number	:	1528707825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN HO

Provider Business Mailing Address
First Line	:	3509 VIRGINIA BEACH BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-4421
Country	:	US
Telephone Number	:	757-261-4475
Fax Number	:	757-222-3156

Provider Business Practice Location Address
First Line	:	3509 VIRGINIA BEACH BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-4421
Country	:	US
Telephone Number	:	757-261-4475
Fax Number	:	757-222-3156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2022
Last Update Date	:	12/18/2025

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Directions to “ VIVIAN HO ” Practice Location

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