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Individual

VIVIAN HEAVEY-SWINGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(703) 509-7236
Mailing address
7808 ATTLEBORO DR, SPRINGFIELD, VA 22153-2713
(703) 455-0191

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002086
VA

Other

Enumeration date
11/16/2013
Last updated
04/06/2018
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