Individual
CALLIE VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 SOUTH ALFRED STREET, ALEXANDRIA, VA 22314
(703) 652-7803
Mailing address
10041 MARSHALL POND RD, BURKE, VA 22015-3735
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
0119005673
VA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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