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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