Individual
MRS. MINDY DIEPENBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9862 SOLITARY PL, BRISTOW, VA 20136-2517
(703) 335-2339
Mailing address
9862 SOLITARY PL, BRISTOW, VA 20136-2517
(703) 335-2339
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119002721
VA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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