Individual
MS. TAKEISHA MARIE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2425 18TH PLACE, SE, 2411 32 ND ST, SE, WASHINGTON, DC 20020-6315
(202) 575-5404
(301) 576-5404
Mailing address
2425 18TH PLACE, SE, WASHINGTON, DC 20020-6315
(202) 480-7390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010000596
DC
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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