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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMARI JEANINE HEAVENS, PT,DPT

Active Sole Proprietor

IMARI JEANINE HEAVENS, PT,DPT is a Ergonomics (Occupational Therapy) healthcare provider located in WOODBRIDGE, Virginia. NPI 1043987795 is currently active in the NPPES registry. Verify at CMS.

Ergonomics (Occupational Therapy) · WOODBRIDGE, VA

Registration Details

NPI Number
1043987795
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2021 (5.0001704947021 yrs)
Last Updated
Aug 30, 2021
Sole Proprietor
Yes

Practice Information

Address
12731 MARBLESTONE DR STE 202
WOODBRIDGE, VA, 221928334
Browse VA providers · Browse ZIP 22192
Phone
5716592612
Primary Specialty
Ergonomics (Occupational Therapy)
2251X0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.