Individual
STEPHANIE LEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2239 TACKETTS MILL DR STE K, WOODBRIDGE, VA 22192-3026
(703) 491-1044
Mailing address
2239 TACKETTS MILL DR UNIT K, WOODBRIDGE, VA 22192-3026
(703) 491-1044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-008538
VA
Other
Enumeration date
03/10/2020
Last updated
06/26/2025
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