Individual
LINDA MAY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7205 JOSHUA TREE LN, SPRINGFIELD, VA 22152-3610
(703) 913-5372
Mailing address
7205 JOSHUA TREE LN, SPRINGFIELD, VA 22152-3610
(703) 913-5372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003904
VA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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