Organization
CENTER FOR VEIN RESTORATION MD LLC
Active
Organization
CENTER FOR VEIN RESTORATION MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA PLEFFNER (CREDENTIALING MANAGER)
(301) 860-0003
Entity
Organization
Contact information
Practice address
7025 GROVE RD, ALEXANDRIA, VA 22306-1428
(703) 785-8792
Mailing address
7025 GROVE RD, ALEXANDRIA, VA 22306-1428
(703) 785-8792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005026
VA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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