Christine Mack OT

NPI 1558696807 - Occupational Therapist - 225X00000X

NPI Details
NPI 1558696807
Gender Female
Enumeration Date 10/05/2009
Last Updated 09/11/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
19450 DEERFIELD AVE
SUITE 101
LANSDOWNE VA, 20176-6820, US
Phone (703) 726-9352
Fax
Business Location
8316 ARLINGTON BLVD
SUITE 400
FAIRFAX VA, 22031-5207, US
Phone (703) 560-3190
Fax (703) 560-3194
Toxanomy
Taxonomy Code 225X00000X
License State Virginia
License Number 011905643
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According to our database, Christine Mack OT NPI is 1558696807, taxonomy code is 225X00000X and license number is 011905643, license state is located at Virginia. Christine Mack OT physically located at 19450 Deerfield Ave, Lansdowne VA, 20176-6820. NPI Number Christine Mack OT has the Individual type.

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1558696807 NPI number is provided on an as is basis without warranty of any kind. 1558696807 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Mack OT are for informational purposes only.