Individual
JOSETTE SANDVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7001A LOISDALE RD, SPRINGFIELD, VA 22150-1904
(703) 971-0602
(703) 971-0606
Mailing address
7001A LOISDALE RD, SPRINGFIELD, VA 22150-1904
(703) 971-0602
(703) 971-0606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000135
VA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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