Individual
DEEPA LAXMI SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 707-0706
Mailing address
11647 N SHORE DR, 21, RESTON, VA 20190-4613
(571) 265-3441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004017
VA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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