Individual
CARLY RHEA BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2620 MAIN LINE BLVD, ALEXANDRIA, VA 22301-3081
(571) 577-6011
Mailing address
313 E MONROE AVE APT 1, ALEXANDRIA, VA 22301-1600
(571) 547-8507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009810
VA
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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