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VIVIAN HEAVEY-SWINGLE OT/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1891125548

Individual Registrant:
 VIVIAN  HEAVEY-SWINGLE OT/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8270 WILLOW OAKS CORPORATE DR  FAIRFAX, VA 22031-4511 US
Tel: 703-509-7236  Fax: --

Contact information for business:
7808 ATTLEBORO DR  SPRINGFIELD, VA 22153-2713 US
Tel: 703-455-0191  Fax: --

Registration Information:
NPI: 1891125548
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
VA0119002086

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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