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Individual

ANGELA R TRIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7120 BRADDOCK RD, ANNANDALE, VA 22003-6007
(703) 256-9770
Mailing address
7120 BRADDOCK RD, ANNANDALE, VA 22003-6007
(703) 256-9770

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000206
VA

Other

Enumeration date
10/16/2012
Last updated
10/16/2012
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