Individual
WHITNEY CANIZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7001 LOISDALE RD STE A, SPRINGFIELD, VA 22150-1904
(701) 971-0602
Mailing address
7001 LOISDALE RD STE A, SPRINGFIELD, VA 22150-1904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002754
VA
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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