Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251X0800X | Physical Therapist - Orthopedic | 2305210432 | VA |
Y | 225XH1200X | Occupational Therapist - Hand | 0119007024 | VA |
NPI | 1245652627 |
---|---|
Provider Name | Lindsey Rolinski |
First Address | Fairfax, VA 22030-6078 |
Second Address | Fairfax, VA 22030-6078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2014 |
Last Update Date | 19/07/2016 |