SAMANTHA HERRELL BAGNATO

WOODBRIDGE, VA
NPI1164017927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119008524)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: VA  0119008524)
Enumeration Date2021-03-03
Last Update Date2022-01-11
Business Address
SAMANTHA HERRELL BAGNATO OTR/L
2235 TACKETTS MILL DR # C
WOODBRIDGE, VA 22192-3036
Phone number: 703-491-1044
Mailing Address
SAMANTHA HERRELL BAGNATO OTR/L
7315 MENDOTA AVE
FALLS CHURCH, VA 22042-1413
Phone number: 540-533-7006