Individual
MISS CHERYL LYNN DORMAN FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MSHA
Contact information
Practice address
12411 GAYTON RD, RICHMOND, VA 23238-2272
(804) 447-5650
Mailing address
12411 GAYTON RD, RICHMOND, VA 23238-2272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001080
VA
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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