Individual
KASEY UNDERDOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001A LOISDALE RD, SPRINGFIELD, VA 22150-1904
(703) 971-0602
(703) 971-0606
Mailing address
1210 N VERNON ST, ARLINGTON, VA 22201-4832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005869
VA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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