Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Provau Eldridge, OTR/L

Individual provider Occupational Therapist · NPI 1649579137

Jaclyn Provau Eldridge, OTR/L is an Occupational Therapist in Colonial Heights, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2011
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

235 Dunlop Farms Blvd
Colonial Heights, VA 23834-1792
Phone: (804) 520-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119005302 (VA)

Record details

NPI number1649579137
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 23, 2011
Last updated in NPPESDecember 15, 2014

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