Individual
JESSICA EUN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
4310 FOREST HILL DR, FAIRFAX, VA 22030-5680
(703) 278-1001
Mailing address
9621 LINDENBROOK ST, FAIRFAX, VA 22031-1120
(703) 470-7153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007192
VA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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