Individual
GABRIELLA ROSE MAZZEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1487 CHAIN BRIDGE RD STE 102, MC LEAN, VA 22101-5723
(703) 637-4601
Mailing address
1487 CHAIN BRIDGE RD STE 102, MC LEAN, VA 22101-5723
(908) 956-5292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009520
VA
225X00000X
Occupational Therapist
OT210002246
DC
Other
Enumeration date
08/03/2021
Last updated
10/07/2023
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