Individual
GEOFFREY GANGLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9130 STEPHENS MANOR DR, MECHANICSVILLE, VA 23116-5165
(804) 798-8043
(804) 798-8045
Mailing address
10917 W HUGUENOT RD, NORTH CHESTERFIELD, VA 23235-3349
(804) 320-0860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000259
VA
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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