NPI 1073730636
Dana Jill Wallace, MSOTRL
Practice location
- Address
- 20925 Professional Plaza Suite 300, Ashburn, VA 20147
- Phone
- (703) 544-7171
- Fax
- (703) 997-4450
Registered specialties (3)
Occupational Therapist
Primary
Occupational Therapist
Hand Occupational Therapist
Registry record
- NPI
- 1073730636
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Apr 2007
- Record last updated
- 1 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.