URSULA BENTON

LAKE RIDGE, VA
NPI1679917967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131000656)
Enumeration Date2013-04-17
Last Update Date2013-04-17
Business Address
-- URSULA BENTON COTA
12191 CLIPPER DR
LAKE RIDGE, VA 22192-2237
Phone number: 703-496-3486
Mailing Address
-- URSULA BENTON COTA
8220 GUNSTON COMMONS WAY
LORTON, VA 22079-5026
Phone number: 254-702-0170