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Individual

MRS. QUANITA LATOYA ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
55 BRIMLEY DR., FREDERICKSBURG, VA 22406
(540) 701-9480
Mailing address
4541 ALLIANCE WAY, FREDERICKSBURG, VA 22408-3915
(757) 735-6290

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002671
VA

Other

Enumeration date
04/29/2022
Last updated
04/29/2022
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