Individual
MS. AMANDA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L
Contact information
Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7705
Mailing address
4600 WASHINGTON BLVD, APT 203W, ARLINGTON, VA 22201-4773
(352) 328-9808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001466
VA
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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