Individual
MS. KAILIE R CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/F
Contact information
Practice address
12100 CHANCELLORS VILLAGE, FREDERICKSBURG, VA 22407-5173
(315) 573-1961
Mailing address
2007 WOODLYN DR, APT. 204, FREDERICKSBURG, VA 22401-5173
(315) 573-1961
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005010
VA
Other
Enumeration date
01/07/2010
Last updated
01/12/2010
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