Individual
MARY HASWELL LORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1337 HARDY RD STE 10, VINTON, VA 24179-2247
(540) 647-8331
Mailing address
2125 E WASHINGTON AVE STE C, VINTON, VA 24179-4601
(540) 647-8331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003792
VA
Other
Enumeration date
10/06/2022
Last updated
02/05/2024
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