Individual
BRIANNE ALTAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9909 MEDICAL CENTER DR, ROCKVILLE, MD 20850-6361
(240) 864-6200
Mailing address
720 GATESTONE ST, GAITHERSBURG, MD 20878-2152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08651
MD
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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