Provider Demographics
NPI:1043440738
Name:EAVEY, JAMIE CURRIE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:CURRIE
Last Name:EAVEY
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11039 GREENLINE CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5855
Mailing Address - Country:US
Mailing Address - Phone:804-550-2320
Mailing Address - Fax:
Practice Address - Street 1:1610 FOREST AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5009
Practice Address - Country:US
Practice Address - Phone:804-282-4596
Practice Address - Fax:804-282-4598
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003690225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist