Individual
LILYANNE OLIVIA VOGELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6231 LEESBURG PIKE STE 500, FALLS CHURCH, VA 22044-2102
(703) 536-1817
Mailing address
1629 APRICOT CT, RESTON, VA 20190-4403
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009334
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463297
NBCOT CERTIFICATION NUMBER
—
Enumeration date
11/18/2021
Last updated
02/02/2022
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