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1841517927
MARYANN CENTRA
ALEXANDRIA, VA
NPI
1841517927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: VA 0119002303)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
-- MARYANN CENTRA O.T.R./L
6164 FULLER CT
ALEXANDRIA, VA 22310-2540
Phone number: 571-271-7308
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Mailing Address
-- MARYANN CENTRA O.T.R./L
15133 STILLFIELD PL
CENTREVILLE, VA 20120-3910
Phone number: 703-815-9003
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