Individual
SHANDA DAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
5695 KING CENTRE DR STE 100, ALEXANDRIA, VA 22315-5745
(571) 303-1298
Mailing address
4111 STEEDS GRANT WAY, FORT WASHINGTON, MD 20744-1401
(301) 526-5814
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119009526
VA
Other
Enumeration date
02/25/2014
Last updated
10/24/2023
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