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Mr. Robert Edward Macdonnell, OCCUPATIONALTHERAPI
Military Health Care Provider in Dumfries, Virginia
NPI 1063710515

Robert Edward Macdonnell is a Military Health Care Provider based in Dumfries, VA. Robert Edward Macdonnell practices in Dumfries, VA and has the professional credentials of OCCUPATIONALTHERAPI. The NPI Number for Robert Edward Macdonnell is 1063710515 and holds a License No. 0119002314 (Virginia).

The current practice location address for Robert Edward Macdonnell is 700 Fettler Park, Dumfries, VA and can be reached out via phone at 703-441-7500.

Location: 700 Fettler Park, Dumfries, VA, 22025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063710515
Provider Name
Robert Edward Macdonnell
Credential
OCCUPATIONALTHERAPI
Provider Entity Type
Individual
Gender
Male
Address
700 Fettler Park, Dumfries, VA, 22025
Phone Number
703-441-7500
Fax Number
Provider Enumeration Date
03/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Fettler Park
City
Dumfries
State
Virginia
Zip
22025
Phone Number
703-441-7500
Fax Number
person
Provider Business Mailing Address Details
Address
700 Fettler Park
City
Dumfries
State
Virginia
Zip
22025
Phone Number
703-441-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0119002314 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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