Individual
MINDEE VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20535 EARHART PL, STERLING, VA 20165-3581
(703) 404-5223
Mailing address
1930 E BEECH RD, STERLING, VA 20164-1934
(703) 899-4438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003307
VA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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