LOUCRETIA STANTON

MANASSAS, VA
NPI1588170922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119003175)
Enumeration Date2017-12-21
Last Update Date2017-12-21
Business Address
LOUCRETIA STANTON OTR/L
14715 BRISTOW RD
MANASSAS, VA 20112-3945
Phone number: 703-791-7282
Mailing Address
LOUCRETIA STANTON OTR/L
12989 KYLE MOOR PL
BRISTOW, VA 20136-2596
Phone number: