Individual
ELSA ANTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
19775 BELMONT EXECUTIVE PLZ STE 125, ASHBURN, VA 20147-7606
(571) 498-7752
Mailing address
2055 HATCHERS MILL RD, MARSHALL, VA 20115-3645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010665
VA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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