Individual
CANDICE PLEASANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 FOREST HILL DR, FAIRFAX, VA 22030-5680
(703) 278-1001
Mailing address
11821 BRETON CT APT 11, RESTON, VA 20191-3221
(703) 599-6864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-002496
VA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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