Individual
COLLEEN STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
1505 DUFFEY DR, HAYMARKET, VA 20169-1339
(520) 275-6392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004950
VA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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