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1285888438
LEANE MARIE THAXTON
STAFFORD, VA
NPI
1285888438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119005036)
Enumeration Date
2008-11-13
Last Update Date
2017-03-15
Business Address
-- LEANE MARIE THAXTON MS OTR/L
2765 JEFFERSON DAVIS HWY SUITE 203
STAFFORD, VA 22554-8331
Phone number: 540-720-2261
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Mailing Address
-- LEANE MARIE THAXTON MS OTR/L
6707 JEROME ST.
SPRINGFIELD, VA 22150
Phone number: 678-372-4150
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