Individual
KANCHANMALA AKMANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
20925 PROFESSIONAL PLZ, #320, ASHBURN, VA 20147-3403
(703) 544-7171
(703) 890-2444
Mailing address
20925 PROFESSIONAL PLZ, #320, ASHBURN, VA 20147-3403
(703) 544-7171
(703) 890-2444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119001265
VA
225XH1200X
Hand Occupational Therapist
Primary
0119001265
VA
Other
Enumeration date
06/27/2015
Last updated
06/27/2015
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