Individual
MRS. KAREN HEIDIG LONGWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4225 SHORE DR, VIRGINIA BEACH, VA 23455-2870
(757) 464-4700
Mailing address
1701 CAVERSHAM MEWS, VIRGINIA BEACH, VA 23455-4371
(757) 963-7653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001937
VA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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