Search › Virginia › 235Z00000X
Jill Wine, M.A., CCC-SLP
NPI 1881059624 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5254 Potomac Dr Ste A
King George, VA 22485 - Phone
- (540) 850-3940
- Fax
- (571) 550-9758
- Organisation at this address
- Jp Frye Llc
Changing Paces Pc
Changing Paces PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 2765 Jefferson Davis Hwy, Stafford, VA
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia