Individual
MRS. MICHELLE LEE WOOLWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
2300 CHARLES ST STE C, FREDERICKSBURG, VA 22401-3346
(540) 368-1400
(540) 368-0055
Mailing address
1705 JAN DR, FREDERICKSBURG, VA 22405-2257
(540) 371-7437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003022
VA
Other
Enumeration date
10/19/2006
Last updated
07/09/2007
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