Individual
JACQUELYN TANG SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Mailing address
11970 COTTON MILL DR, WOODBRIDGE, VA 22192-1508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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