Individual
KELLENE REDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 CHANCELLORS VILLAGE LN, FREDERICKSBURG, VA 22407-6100
(540) 786-1491
Mailing address
12100 CHANCELLORS VILLAGE LN, FREDERICKSBURG, VA 22407-6100
(717) 580-4779
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002156
VA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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