Mrs Mindy Diepenbrock, OTR | |
9862 Solitary Pl, Bristow, VA 20136-2517 | |
(703) 335-2339 | |
Not Available |
Full Name | Mrs Mindy Diepenbrock |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 9862 Solitary Pl, Bristow, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336368612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 0119002721 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Mindy Diepenbrock, OTR 9862 Solitary Pl, Bristow, VA 20136-2517 Ph: (703) 335-2339 | Mrs Mindy Diepenbrock, OTR 9862 Solitary Pl, Bristow, VA 20136-2517 Ph: (703) 335-2339 |
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