Individual
LORETTA ANN MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11240 WAPLES MILL RD, FAIRFAX, VA 22030-6078
(703) 237-2219
Mailing address
11240 WAPLES MILL RD, FAIRFAX, VA 22030-6078
(703) 237-2219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-002066
VA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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