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Individual

JEANETTE E HAUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/CHT

Contact information

Practice address
6355 WALKER LANE, SUITE 512, ALEXANDRIA, VA 22310
(703) 647-3110
(703) 822-9955
Mailing address
6109 DONIVAL SQ, ALEXANDRIA, VA 22315-5265
(703) 971-6597

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
02409
MD
225XH1200X
Hand Occupational Therapist
Primary
0119001127
VA
225XH1200X
Hand Occupational Therapist
17498
CA
225XH1200X
Hand Occupational Therapist
OT10000568
DC

Other

Enumeration date
08/30/2006
Last updated
05/09/2024
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