Individual
KIM TRACZ LIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11802 COBB HILL CT, OAKTON, VA 22124-2201
(703) 344-6326
Mailing address
11802 COBB HILL CT, OAKTON, VA 22124-2201
(703) 344-6326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002042
VA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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