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General NPI Number Information
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NPI Number | 1922626662
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Entity Type | Individual
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Provider Name | BRITTANY LIBBEY MARTIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 6715 LITTLE RIVER TPKE STE 200
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City | ANNANDALE
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State | VA
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Zip | 22003-3546
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Country | US
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Telephone | 636-733-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 13TH RD S APT 399
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City | ARLINGTON
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State | VA
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Zip | 22204-4977
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Country | US
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Telephone | 850-529-3506
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2020012885
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License Number State | MO
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