Individual
BARBARA L. NIDIFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1101 E HIGH ST STE B, CHARLOTTESVILLE, VA 22902-4857
(434) 984-5218
Mailing address
584 SHADY LN, CHARLOTTESVILLE, VA 22903-9759
(434) 296-2067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000175
VA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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