Individual
MS. LYNNETTE KAY HEINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4017 MAPLE ST, FAIRFAX, VA 22030-5217
(505) 450-7666
Mailing address
4017 MAPLE ST, FAIRFAX, VA 22030-5217
(505) 450-7666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2068
NM
Other
Enumeration date
11/03/2011
Last updated
06/11/2013
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