Individual
JUSTIN DEAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8000 ILIFF DR, DUNN LORING, VA 22027-1235
(703) 560-1000
Mailing address
8803 HIGDON DR, VIENNA, VA 22182-2315
(571) 212-7542
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002784
VA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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