Individual
SUSAN NGATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2978 CENTERVILLE RD., HERNDON, VA 20171
(703) 934-5000
Mailing address
2978 CENTREVILLE RD, HERNDON, VA 20171-6253
(703) 934-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-007242
VA
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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