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Individual

MICHAELA WHEARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
8501 ARLINGTON BLVD STE 110, FAIRFAX, VA 22031-4625
(703) 205-1919
Mailing address
9535 JOMAR DR, FAIRFAX, VA 22032-2012

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010125
VA

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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