Individual
LINETTE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14420 HEREFORD RD, WOODBRIDGE, VA 22193-2129
(703) 670-8904
Mailing address
14420 HEREFORD RD, WOODBRIDGE, VA 22193-2129
(703) 670-8904
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
—
VA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
VA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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