Individual
STEPHANIE MARIEDEROSA DANGERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD- OTR
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
11089 STONEBROOK DR, MANASSAS, VA 20112-3087
(703) 655-8168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005859
VA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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