Individual
MRS. ROSANA SOUZA CAVALCANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2465 CENTREVILLE RD # J17-715, HERNDON, VA 20171
(866) 404-1835
Mailing address
2465 CENTREVILLE RD # J17-715, HERNDON, VA 20171-4586
(866) 404-1835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006519
PA
Other
Enumeration date
09/24/2009
Last updated
07/19/2019
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