Individual
MS. KATHRYN JOAN DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6929 MATTHEW PL, SPRINGFIELD, VA 22151-3607
(703) 813-1800
Mailing address
7032 KINGS MANOR DR, ALEXANDRIA, VA 22315-5641
(316) 617-5623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005189
VA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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