Individual
SHARON VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5000 FAIRBANKS AVE, ALEXANDRIA, VA 22311-1246
(703) 797-3869
Mailing address
2629 PIONEER LN, FALLS CHURCH, VA 22043-3403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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