Individual
DR. LANI RASLEY STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
171 ELDEN ST STE 2C4, HERNDON, VA 20170-4875
(703) 481-5801
(703) 481-5804
Mailing address
171 ELDEN ST STE 2C4, HERNDON, VA 20170-4875
(703) 481-5801
(703) 481-5804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004242
VA
Other
Enumeration date
12/11/2006
Last updated
06/04/2014
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