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1346925542
COLIN NULTY
FAIRFAX, VA
NPI
1346925542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119009956)
Enumeration Date
2023-06-16
Last Update Date
2023-06-16
Business Address
COLIN NULTY OT
3998 FAIR RIDGE DR STE 100-B
FAIRFAX, VA 22033-2907
Phone number: 703-934-0333
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Mailing Address
COLIN NULTY OT
1318 ALDBURY WAY
RESTON, VA 20194-1428
Phone number: 703-509-4470
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