Individual
ANTIGONE GEROMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6541 FRANCONIA RD, SPRINGFIELD, VA 22150-1409
(703) 922-6800
Mailing address
6541 FRANCONIA RD, SPRINGFIELD, VA 22150-1409
(703) 922-6800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006966
VA
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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