Individual
MISS SABASREE PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7855 BLUE GRAY CIR, MANASSAS, VA 20109-2823
(304) 731-9722
Mailing address
7855 BLUE GRAY CIR, MANASSAS, VA 20109-2823
(304) 731-9722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001608
VA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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