Individual
MRS. IVY CECILIA BISHOP- ST. ANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6000
Mailing address
110 SAINT ROBERTS DR, STAFFORD, VA 22556-3652
(540) 288-8891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119002858
VA
225XN1300X
Neurorehabilitation Occupational Therapist
0119002858
VA
225XP0200X
Pediatric Occupational Therapist
Primary
0119002858
VA
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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