Individual
VIAN AL-BAIATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3900 JERMANTOWN RD, SUITE 150, FAIRFAX, VA 22030-4900
(703) 910-5006
Mailing address
6372 LINCOLNIA RD, ALEXANDRIA, VA 22312-1547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001501
VA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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