Individual
BETSY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20535 EARHART PL, POTOMAC FALLS, VA 20165-3581
(703) 404-5241
Mailing address
12126 DALEWOOD DR, SILVER SPRING, MD 20902-1142
(301) 518-7913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-001887
VA
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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