Individual
RANDI BRYN SIMENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
111 MICHIGAN AVE NW, OCCUPATIONAL THERAPY DEPT., WASHINGTON, DC 20010-2916
(202) 476-3096
Mailing address
2238 CENTRAL AVE, VIENNA, VA 22182-5193
(703) 849-9853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119001416
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119001416
VIRGINIA LICENSE
VA
Enumeration date
11/29/2008
Last updated
11/29/2008
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