Individual
AMANDA MATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
8348 TRAFORD LN, SUITE 200, SPRINGFIELD, VA 22152-1663
(703) 569-7500
(703) 866-0158
Mailing address
8348 TRAFORD LN, SUITE 200, SPRINGFIELD, VA 22152-1663
(703) 569-7500
(703) 866-0158
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119006190
VA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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