Individual
MARK DANIEL HUGENTOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
105 GINGER ST, WINCHESTER, VA 22602-6903
(540) 903-0722
Mailing address
105 GINGER ST, WINCHESTER, VA 22602-6903
(540) 903-0722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004698
VA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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