Individual
VIBHOR MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 CAMERON GLEN DR, RESTON, VA 20190-3308
(703) 435-2743
Mailing address
12265 PENDER CREEK CIR APT G, FAIRFAX, VA 22033-3933
(424) 675-0600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005150
VA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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