Individual
TERESA MARIE HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14001C SAINT GERMAIN DR, SUITE 382, CENTREVILLE, VA 20121-2338
(571) 206-8446
(636) 944-0297
Mailing address
14001C SAINT GERMAIN DR, SUITE 382, CENTREVILLE, VA 20121-2338
(571) 206-8446
(636) 944-0297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004061
VA
Other
Enumeration date
04/26/2014
Last updated
04/29/2014
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