Individual
HINAKAUSAR JAHANGIRPURWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14906 JEFFERSON DAVIS HWY, WOODBRIDGE, VA 22191-4016
(703) 491-6167
Mailing address
12075 TANGO LN, WOODBRIDGE, VA 22193-6101
(703) 300-7735
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001948
VA
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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