Individual
MRS. VIVIAN YVETTE DADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8000 ILIFF DR, DUNN LORING, VA 22027-1235
(703) 560-1000
Mailing address
4431 LONGWORTHE SQ, ALEXANDRIA, VA 22309-1225
(703) 619-0988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001734
VA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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