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NPI Code Detail

MEDICARE: MINDEE VO

MEDICARE: MINDEE VO
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 Therapist0119003307VA

General Provider Information

NPI Number : 1528184256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDEE VO
Provider Business Mailing Address
First Line : 1930 E BEECH RD
Second Line :
City : STERLING
State : VA
Zip : 20164-1934
Country : US
Telephone Number : 703-899-4438
Fax Number :
Provider Business Practice Location Address
First Line : 20535 EARHART PL
Second Line :
City : STERLING
State : VA
Zip : 20165-3581
Country : US
Telephone Number : 703-404-5223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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Directions to “ MINDEE VO ” Practice Location

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