Individual
ANNA BRANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14080 CENTRAL LOOP, WOODBRIDGE, VA 22193-1438
(571) 409-1128
Mailing address
14517 FULLERTON RD, WOODBRIDGE, VA 22193-2034
(814) 243-7629
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002426
VA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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