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Individual

SUSAN WINDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7705
Mailing address
6613 NETTIES LN UNIT D, ALEXANDRIA, VA 22315-6090
(703) 628-2501

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002021
VA

Other

Enumeration date
04/05/2019
Last updated
04/05/2019
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