Individual
JOCELYN LUEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21750 RED RUM DR STE 117, ASHBURN, VA 20147-5867
(703) 574-2989
Mailing address
17302 SIMMONS RD, PURCELLVILLE, VA 20132-3529
(402) 689-6619
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225X00000X
Occupational Therapist
Primary
0119010239
VA
Other
Enumeration date
12/23/2014
Last updated
01/04/2024
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