Individual
MRS. LINDA O'TOOLE GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
11106 DEL RIO DR, FAIRFAX, VA 22030-5339
(703) 591-1642
Mailing address
11106 DEL RIO DR, FAIRFAX, VA 22030-5339
(703) 591-1642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019006051
VA
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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