Individual
MRS. ALICIA ERIN RIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4315 CHAIN BRIDGE RD, FAIRFAX, VA 22030-3061
(703) 934-5040
Mailing address
43615 PLANTATION TER, ASHBURN, VA 20147-4620
(703) 955-0552
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000047
VA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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