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Individual

CASSANDRA MANCINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
10588 CANTERBERRY RD, FAIRFAX STATION, VA 22039-1930
(703) 474-8342
Mailing address
15 W GLEBE RD APT C11, ALEXANDRIA, VA 22305-2684
(207) 807-6096

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006260
VA
225X00000X
Occupational Therapist
OT010000962
DC

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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