MEDICARE: MISS GAR WING LEE OTR

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
1	225X00000X	Occupational Therapist	0119009027	VA
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1336264555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS GAR WING LEE OTR

Provider Business Mailing Address
First Line	:	1094 PENSIVE LN
Second Line	:
City	:	GREAT FALLS
State	:	VA
Zip	:	22066-1718
Country	:	US
Telephone Number	:	240-888-3842
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 CHURCH ST NE
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22180-4760
Country	:	US
Telephone Number	:	703-938-8585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	09/20/2024

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Directions to “ MISS GAR WING LEE OTR” Practice Location

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