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Individual

JACQUELYN ELIZABETH SISK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5821 RIVERSIDE DR, WOODBRIDGE, VA 22193-3751
(571) 228-6965
Mailing address
5821 RIVERSIDE DR, WOODBRIDGE, VA 22193-3751

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119010462
VA

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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