Individual
ARCHIBALD JENALD ELBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1785 S. HAYES ST, 1785 S. HAYES ST, ARLINGTON, VA 22202
(703) 920-5700
Mailing address
1785 S HAYES ST, ARLINGTON, VA 22202-2714
(703) 920-5700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010249
VA
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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