Individual
MRS. ELISSA L JAMALDINIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11240 WAPLES MILL RD, SUITE 202, FAIRFAX, VA 22030-6078
(703) 237-2729
Mailing address
PO BOX 231120, CENTREVILLE, VA 20120-7120
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119003919
VA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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