Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 0119004618 | VA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 0119004618 | VA |
NPI | 1578788980 |
---|---|
Provider Name | Dr. Yolunda G Dockett |
First Address | Woodbridge, VA 22191-4016 |
Second Address | Woodbridge, VA 22191-4016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 10/11/2012 |