Individual
MS. DENISE DIVER-LAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
407 CHURCH ST NE, SUITE G, VIENNA, VA 22180-4737
(703) 255-2339
Mailing address
800 SHAHRAAM CT SE, VIENNA, VA 22180-5972
(703) 255-2339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000586
VA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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