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Andrea Cline Lafferty

Occupational Therapist in Bristow, VA. Individual provider (NPI-1).

NPI number1093374209
StatusActive
Last updated in NPPESSep 21, 2022

Details

NPI
1093374209
Entity type
Individual (NPI-1)
Name
Andrea Cline Lafferty
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2019
Certification date
Sep 21, 2022
Last updated
Sep 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist0119-008795VAYes
225X00000X Occupational Therapist119847TX

Practice location

8452 Hessian Hill Ct
Bristow, VA 20136-1166

Phone 304-228-5444

Mailing address

8452 Hessian Hill Ct
Bristow, VA 20136-1166

Phone 304-228-5444

Other practice locations

4423 Shadowdale Dr
Houston, TX 77041-8718

Phone 713-466-6872

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