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Individual

LAURA SWANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, CHT

Contact information

Practice address
19465 DEERFIELD AVE STE 405, LEESBURG, VA 20176-1707
(703) 858-1800
(703) 858-1801
Mailing address
19465 DEERFIELD AVE STE 405, LEESBURG, VA 20176-1707
(703) 858-1800
(703) 858-1801

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001306
VA
225XH1200X
Hand Occupational Therapist
0119001306
VA

Other

Enumeration date
08/30/2006
Last updated
02/19/2019
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