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1699014712
LISA RENEE HENDRICKSON
NEWPORT NEWS, VA
NPI
1699014712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000873)
Enumeration Date
2013-02-08
Last Update Date
2013-02-08
Business Address
-- LISA RENEE HENDRICKSON COTA/L
107 WOODBRIDGE DR
NEWPORT NEWS, VA 23608-8211
Phone number: 757-232-4366
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Mailing Address
-- LISA RENEE HENDRICKSON COTA/L
107 WOODBRIDGE DR
NEWPORT NEWS, VA 23608
Phone number: 757-232-4366
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