Individual
RITA MAE HARCHELROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7143 SHREVE RD, FALLS CHURCH, VA 22043-3011
(703) 237-2219
Mailing address
8913 EDMONSTON DR, BRISTOW, VA 20136-2114
(571) 228-0014
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
CP-361746
VA
Other
Enumeration date
08/12/2011
Last updated
08/15/2011
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