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1407872005
STEPHEN A FAHERTY
CHESAPEAKE, VA
NPI
1407872005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119000536)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN A FAHERTY OTR/L
4016 RAINTREE RD SUITE 240
CHESAPEAKE, VA 23321-3700
Phone number: 757-488-2864
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Mailing Address
Mr. STEPHEN A FAHERTY OTR/L
4016 RAINTREE RD SUITE 240
CHESAPEAKE, VA 23321-3700
Phone number: 757-488-2864
Copy
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