Individual
MRS. CONSTANCE ANNE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15519 TODDSBURY LN, MANASSAS, VA 20112-5420
(703) 973-8902
Mailing address
15519 TODDSBURY LN, MANASSAS, VA 20112-5420
(703) 973-8902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002310
VA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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