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Individual

LINDSEY NICOLE WHITWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-8712
Mailing address
43644 FREE STONE TER UNIT 400, ASHBURN, VA 20147-4991
(816) 898-9444

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010621
VA

Other

Enumeration date
04/15/2024
Last updated
09/04/2024
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