Individual
CALVIN TAMBULO CAMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, OTR/L
Contact information
Practice address
8512 CRAGGAN LN, MANASSAS, VA 20109-4289
(703) 901-8711
Mailing address
8512 CRAGGAN LN, MANASSAS, VA 20109-4289
(703) 901-8711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119007899
VA
225X00000X
Occupational Therapist
Primary
023244
NY
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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