Individual
LYDIA DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501
(434) 485-8500
Mailing address
PO BOX 7158868, PHILADELPHIA, PA 19171-0001
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009297
VA
Other
Enumeration date
12/16/2021
Last updated
11/08/2022
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