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Individual

JUDITH T. MCCALLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1481 CHAIN BRIDGE RD, SUITE 102, MC LEAN, VA 22101-5702
(703) 750-2443
Mailing address
1481 CHAIN BRIDGE RD, SUITE 102, MC LEAN, VA 22101-5702
(703) 750-2443

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000493
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0119000493
OT LICENSE
VA
Enumeration date
05/05/2009
Last updated
05/05/2009
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