Individual
MRS. LISA PASCARELLA MANGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
46555 HARRY BYRD HWY, STERLING, VA 20164-3567
(540) 815-2565
Mailing address
22065 AVONWORTH SQUARE, BROADLANDS, VA 20148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01190003958
VA
Other
Enumeration date
03/22/2007
Last updated
05/11/2011
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