Individual
DAISY CHEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.O.T.R/L
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005170
VA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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