Individual
MARY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 BELLE VIEW BLVD # 735, ALEXANDRIA, VA 22307-6530
(703) 395-5157
Mailing address
1520 BELLE VIEW BLVD # 735, ALEXANDRIA, VA 22307-6530
(703) 395-5157
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
VA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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