Individual
COLLEEN MARY MCGRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 W BROAD ST STE 100, FALLS CHURCH, VA 22046-3131
(571) 378-1272
Mailing address
803 W BROAD ST STE 100, FALLS CHURCH, VA 22046-3131
(571) 378-1272
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000832
VA
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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