Individual
CHANELE ELIZABETH ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20925 PROFESSIONAL PLZ STE 300, ASHBURN, VA 20147-3403
(703) 544-7171
Mailing address
14235 LEGEND GLEN CT, GAINESVILLE, VA 20155-1494
(703) 606-8419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119007664
VA
225XH1200X
Hand Occupational Therapist
Primary
0119007664
VA
Other
Enumeration date
06/14/2018
Last updated
06/07/2022
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