Individual
MELISSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
12015 ROUTE 50 STE 200, FAIRFAX, VA 22033-3300
(703) 246-7121
Mailing address
12015 ROUTE 50 STE 200, FAIRFAX, VA 22033-3300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004121
VA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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