Individual
GUILHERME DA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 POWHATAN ST, FALLS CHURCH, VA 22043-1940
(571) 297-6942
Mailing address
2100 POWHATAN ST, FALLS CHURCH, VA 22043-1940
(571) 297-6942
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001379
VA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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