Individual
MRS. SAMANTHA ELIZABETH LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
9852 FAIRMONT AVE, MANASSAS, VA 20109-3176
(919) 424-5080
Mailing address
7738 SHARPSHOOTERS CT, MANASSAS, VA 20111-8233
(703) 473-3111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006069
VA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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