Individual
MARIA LILIAN SOTO CERROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7753 GRACKLE CT, ALEXANDRIA, VA 22306-2950
(703) 864-1412
Mailing address
7753 GRACKLE CT, ALEXANDRIA, VA 22306-2950
(703) 864-1412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002823
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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