Individual
ANASTASIA BALKISSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7617 LITTLE RIVER TPKE, SUITE #310, ANNANDALE, VA 22003-2603
(703) 941-7757
(703) 941-0587
Mailing address
7910 BIRCHTREE CT, SPRINGFIELD, VA 22152-3416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006710
VA
Other
Enumeration date
03/16/2013
Last updated
08/10/2016
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