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Individual

NATHAN PENDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504
(703) 385-0555
Mailing address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0119004546
VA

Other

Enumeration date
11/25/2013
Last updated
11/25/2013
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