Individual
MANDI HEESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4323 TANEY AVE, APT 103, ALEXANDRIA, VA 22304-6618
(302) 724-0053
Mailing address
4323 TANEY AVE, APT 103, ALEXANDRIA, VA 22304-6618
(302) 724-0053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02143
MD
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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