Individual
MAUREEN PATRICIA WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11706 GREAT OWL CIR, RESTON, VA 20194-1175
(703) 581-5715
Mailing address
11706 GREAT OWL CIR, RESTON, VA 20194-1175
(703) 581-5715
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119004091
VA
Other
Enumeration date
05/01/2011
Last updated
05/01/2011
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