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Individual

DR. YOLUNDA G DOCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
14906 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191-4016
(571) 248-6556
Mailing address
14906 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191-4016
(571) 248-6556

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0119004618
VA
225XP0200X
Pediatric Occupational Therapist
0119004618
VA

Other

Enumeration date
04/13/2007
Last updated
11/10/2012
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