Individual
KELLY LYNN DUNMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
44035 RIVERSIDE PKWY, SUITE 500A, LEESBURG, VA 20176-8260
(703) 858-6667
(703) 858-6665
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4360
(703) 279-4214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003983
VA
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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