LARISSA LAIS BEVACQUA

SILVER SPRING, MD
NPI1396419859
Former NameLARISSA LAIS LAURINDO LOPES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MD  09336)
Enumeration Date2021-08-06
Last Update Date2021-08-06
Business Address
LARISSA LAIS BEVACQUA OTR/L
12501 PROSPERITY DR
SILVER SPRING, MD 20904-1689
Phone number: 301-777-2000
Mailing Address
LARISSA LAIS BEVACQUA OTR/L
12501 PROSPERITY DR
SILVER SPRING, MD 20904-1689
Phone number: 301-777-2000
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