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Individual

BILLIEJO DEGENKOLB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
60 BRIMLEY DRIVE, FREDERICKSBURG, VA 22406
(540) 737-4505
Mailing address
104 SKYVIEW DR, BLAIRSVILLE, PA 15717-4350
(304) 670-4839

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001736
VA
224Z00000X
Occupational Therapy Assistant
Primary
A02751
MD
224Z00000X
Occupational Therapy Assistant
OP008812
PA

Other

Enumeration date
01/09/2017
Last updated
06/26/2023
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