Individual
MARTA ANGELICA BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 KENMORE AVE, ALEXANDRIA, VA 22304-1313
(703) 751-1008
Mailing address
3609 30TH ST, CHESAPEAKE BEACH, MD 20732
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A02723
MD
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/07/2022
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