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Individual

DR. KRISTEN LEIGH MAISANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L, CPAM

Contact information

Practice address
6504 OLD CARRIAGE DR, ALEXANDRIA, VA 22315-5036
(570) 313-3846
Mailing address
6504 OLD CARRIAGE DR, ALEXANDRIA, VA 22315-5036
(570) 313-3846

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006107
VA
225X00000X
Occupational Therapist
OC009867
PA
225X00000X
Occupational Therapist
OT010000828
DC

Other

Enumeration date
03/13/2007
Last updated
12/02/2013
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