Individual
KAITLYN MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
Mailing address
4306 ANN FITZ HUGH DR, ANNANDALE, VA 22003-3850
(703) 822-3786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119011002
VA
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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