Provider Demographics
NPI:1912128901
Name:JARVELA, MEAGHAN ELISABETH (MS, OTRL)
Entity Type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:ELISABETH
Last Name:JARVELA
Suffix:
Gender:F
Credentials:MS, OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HANOVER AVE APT 5228
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-3748
Mailing Address - Country:US
Mailing Address - Phone:540-287-7095
Mailing Address - Fax:
Practice Address - Street 1:11783 ROCK LANDING DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4431
Practice Address - Country:US
Practice Address - Phone:757-668-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004511225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist