Individual
KELSEY TAYLOR-FORERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
(703) 257-0935
Mailing address
15713 RENTON CT, DUMFRIES, VA 22025-1272
(912) 312-6651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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