Individual
LORIE BRIE DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 CORNERSTONE DR, STAFFORD, VA 22554-6208
(240) 423-7354
Mailing address
17 CORNERSTONE DR, STAFFORD, VA 22554-6208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006477
VA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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