Individual
SARA GOODALL BICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10805 MAIN ST STE 100, FAIRFAX, VA 22030-4729
(703) 978-8400
Mailing address
10805 MAIN ST STE 100, FAIRFAX, VA 22030-4729
(703) 978-8400
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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