National Provider Identifier Database

JACQUELYN M SIDES, OTR/L, CHT – NPI #1659085207
Hand


Contact Information

JACQUELYN M SIDES, OTR/L, CHT
4819 RIVERSIDE DR STE C
DANVILLE, VA24541-5581
Phone: 434-421-6179
Fax:
Website:
Specialty Taxonomy Code
* Hand 225XH1200X
Occupational Therapist 225X00000X

* Indicates primary specialty

NPI Profile & details for JACQUELYN M SIDES

NPI Number 1659085207
Credentials OTR/L, CHT
Entity Individual
Enumeration date 01/09/2023
Last updated 04/15/2026 - About 2 months ago
Sole proprietor1 No
Identifiers
  • VA License #: 0119003320
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JACQUELYN M SIDES, OTR/L, CHT

There are currently no reviews for JACQUELYN M SIDES, OTR/L, CHT


NPIdb - Home
v2.201