PHONGPHAN ROACH

HERNDON, VA
NPI1326558925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: VA  0131001567)
Enumeration Date2017-10-09
Last Update Date2017-10-09
Business Address
PHONGPHAN ROACH
2980 CENTREVILLE RD
HERNDON, VA 20171-6254
Phone number: 703-994-4561
Mailing Address
PHONGPHAN ROACH
1912 VILLARIDGE DR UNIT B
RESTON, VA 20191-4830
Phone number: 916-450-1203
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