Individual
EDEN COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(703) 506-0123
Mailing address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MD
225X00000X
Occupational Therapist
Primary
09232
MD
Other
Enumeration date
05/03/2018
Last updated
04/15/2021
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