Individual
ANGELA LYNN JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10711 SPRING OAK CT, BURKE, VA 22015-2246
(571) 455-4508
Mailing address
10711 SPRING OAK CT, BURKE, VA 22015-2246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002636
VA
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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