Organization
HOLISTIC ADVANTAGE
Active
Organization
HOLISTIC ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY PHILATRE OTR/L, CLT (OCCUPATIONAL THERAPIST)
(781) 654-5267
Entity
Organization
Contact information
Practice address
205 S WHITING ST STE 200, ALEXANDRIA, VA 22304-3693
(781) 654-5267
Mailing address
6300 STEVENSON AVE APT 907, ALEXANDRIA, VA 22304-3573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004921
VA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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