Individual
MRS. SALLY MINNICH WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11712 JEFFERSON AVE, SUITE D, NEWPORT NEWS, VA 23606-4406
(757) 595-4880
(757) 595-4886
Mailing address
11712 JEFFERSON AVE, SUITE D, NEWPORT NEWS, VA 23606-4406
(757) 595-4880
(757) 595-4886
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119000085
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010029171
—
VA
Enumeration date
08/22/2006
Last updated
06/09/2008
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