Individual
REBECCA A WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6506 LOISDALE RD, SUITE 302, SPRINGFIELD, VA 22150-1824
(703) 924-4100
Mailing address
625 N BUCHANAN ST, ARLINGTON, VA 22203-1426
(703) 303-6421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005300
VA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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