Individual
MS. JANICE WIGGINS CHEESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 619-8000
Mailing address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 619-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001854
VA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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