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Individual

AUDREY AWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3508 LEE HWY, ARLINGTON, VA 22207-3717
(703) 243-4601
(757) 773-3402
Mailing address
3508 LEE HWY, ARLINGTON, VA 22207-3717
(703) 243-4601
(202) 379-1797

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
366937
VA

Other

Enumeration date
04/19/2017
Last updated
03/28/2018
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