Individual
MS. ANTOINETTE LEE RANDALL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 WASHINGTON BLVD, SEQUIOA PLAZA 2, ARLINGTON, VA 22204
(703) 228-6005
Mailing address
2110 WASHINGTON BLVD, SEQUIOA PLZ 2, ARLINGTON, VA 22204
(703) 228-6005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008459
VA
Other
Enumeration date
03/01/2018
Last updated
11/20/2019
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