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Organization

CHRISTINE F. CHALK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTINE F. CHALK OT (OCCUPATIONAL THERAPIST)
(703) 425-0847
Entity
Organization

Contact information

Practice address
7326 WAYFARER DR, FAIRFAX STATION, VA 22039-1907
(703) 425-0847
Mailing address
7326 WAYFARER DR, FAIRFAX STATION, VA 22039-1907
(703) 425-0847

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0119000854
VA

Other

Enumeration date
09/02/2015
Last updated
09/02/2015
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