Individual
MS. LYNNE JANETTE GANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11708 BOWMAN GREEN DR, RESTON, VA 20190-3501
(703) 796-9887
Mailing address
11708 BOWMAN GREEN DR, RESTON, VA 20190-3501
(703) 796-9887
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119000014
VA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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