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Individual

JOSE ALEXI GRANADOS MOLINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
7116 FORT HUNT RD, ALEXANDRIA, VA 22307-1900
(703) 768-0234
Mailing address
2451 MIDTOWN AVE APT 1517, ALEXANDRIA, VA 22303-1440
(719) 557-9453

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-002464
VA

Other

Enumeration date
03/15/2021
Last updated
03/16/2021
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