IVY CECILIA BISHOP- ST. ANGE

STAFFORD, VA
NPI1033324231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119002858)
Additional Taxonomies225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: VA  0119002858)
225XP0200X Occupational Therapist, Pediatrics
(Licence: VA  0119002858)
Enumeration Date2007-05-11
Last Update Date2007-07-08
Business Address
Mrs. IVY CECILIA BISHOP- ST. ANGE MS OTRL
31 STAFFORD AVE
STAFFORD, VA 22554-7246
Phone number: 540-658-6000
Mailing Address
Mrs. IVY CECILIA BISHOP- ST. ANGE MS OTRL
110 SAINT ROBERTS DR
STAFFORD, VA 22556-3652
Phone number: 540-288-8891