INGRID SUZANNE DERSTINE

MIDLOTHIAN, VA
NPI1962052506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119008264)
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
INGRID SUZANNE DERSTINE OTD, ORT/L
14366 SOMMERVILLE CT
MIDLOTHIAN, VA 23113-6838
Phone number: 631-580-5200
Mailing Address
INGRID SUZANNE DERSTINE OTD, ORT/L
1377 MOTOR PKWY STE 307
ISLANDIA, NY 11749-5258
Phone number: 631-580-5200
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