Individual
BERNADETTE MARIE SPOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2239 TACKETTS MILL DR STE K, WOODBRIDGE, VA 22192-3026
(703) 491-1044
(703) 491-2044
Mailing address
2239 TACKETTS MILL DR STE K, WOODBRIDGE, VA 22192-3026
(703) 491-1044
(703) 491-2044
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119010164
VA
Other
Enumeration date
10/09/2023
Last updated
10/16/2023
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