Individual
SOFIA BRYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3344 MONARCH LN, ANNANDALE, VA 22003-1151
(703) 341-7345
Mailing address
3344 MONARCH LN, ANNANDALE, VA 22003-1151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005268
VA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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