Individual
KIMBERLY MYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
(703) 257-9770
Mailing address
6131 SANDSTONE CT, CLIFTON, VA 20124-2324
(703) 815-8399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001054
VA
Other
Enumeration date
07/17/2012
Last updated
09/19/2012
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