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Individual

MRS. ROBYN LYNN MORTVEDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4315 CHAIN BRIDGE RD, FAIRFAX, VA 22030-3061
(703) 934-5040
Mailing address
17102 PADDINGTON CT, JEFFERSONTON, VA 22724-1793
(540) 937-5849

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001758
VA

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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