Individual
JESSICA MARIE DINENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
450 W BROAD ST STE 215, FALLS CHURCH, VA 22046-3318
(703) 533-8819
Mailing address
3271 SUTTON PL NW APT D, WASHINGTON, DC 20016-7540
(410) 615-6018
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119006463
VA
225XP0200X
Pediatric Occupational Therapist
OT010001323
DC
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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