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NPI Code Detail

MEDICARE: NANCY LODGE DOODY

MEDICARE: NANCY LODGE DOODY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119011415VA

General Provider Information

NPI Number : 1144152588
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY LODGE DOODY
Provider Business Mailing Address
First Line : 56 E BROAD WAY
Second Line :
City : LOVETTSVILLE
State : VA
Zip : 20180-8607
Country : US
Telephone Number : 540-550-1597
Fax Number :
Provider Business Practice Location Address
First Line : 21631 RIDGETOP CIR STE 225
Second Line :
City : STERLING
State : VA
Zip : 20166-4289
Country : US
Telephone Number : 571-207-8850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ NANCY LODGE DOODY ” Practice Location

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