Individual
KATIRIA BAYRON-VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
46531 HARRY BYRD HWY, STERLING, VA 20164-3555
(703) 834-5800
Mailing address
11200 MOBILE DR, FAIRFAX, VA 22030-5554
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0131-002510
VA
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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