Individual
MRS. GIGI KHONYONGWA-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, ACC
Contact information
Practice address
8070 CRIANZA PL, APT 471, VIENNA, VA 22182-4073
(205) 453-4865
Mailing address
8070 CRIANZA PL, APT 471, VIENNA, VA 22182-4073
(205) 453-4865
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119007086
VA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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