Individual
TIFFANY ABOHASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001A LOISDALE RD, SPRINGFIELD, VA 22150-1904
(703) 971-0602
Mailing address
8360 GREENSBORO DR, APT. 111, MC LEAN, VA 22102-3511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006465
VA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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