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Individual

MRS. KIMBERLY ANN HARTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
2076 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3315
(703) 492-5050
(703) 492-5062
Mailing address
5252 LYNGATE CT, STE 203, BURKE, VA 22015-1672
(703) 239-2300
(703) 239-2301

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119001608
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K949 - 0019
CAREFIRST
VA
Enumeration date
02/24/2006
Last updated
09/10/2015
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