MOSHE BANTASAN

SPRINGFIELD, VA
NPI1326585597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119005124)
Enumeration Date2017-01-26
Last Update Date2024-06-10
Business Address
MOSHE BANTASAN
7444 SHEPHERD RIDGE CT
SPRINGFIELD, VA 22153-1908
Phone number: 847-271-2018
Mailing Address
MOSHE BANTASAN
7444 SHEPHERD RIDGE CT
SPRINGFIELD, VA 22153-1908
Phone number: 571-538-8888
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