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Individual

CYNTHIA A STABENOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2050 ABBEY RD, SUITE B, CHARLOTTESVILLE, VA 22911-3553
(434) 244-0069
(434) 296-0067
Mailing address
3370 RIDGE RD, CHARLOTTESVILLE, VA 22901-7323
(434) 973-7344

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000630
VA

Other

Enumeration date
04/05/2010
Last updated
04/05/2010
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