| Phongphan Roach, | |
|
2980 Centreville Rd, Herndon, VA 20171-6254 | |
| (703) 994-4561 | |
| Not Available |
| Full Name | Phongphan Roach |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 2980 Centreville Rd, Herndon, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326558925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0131001567 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phongphan Roach, 1912 Villaridge Dr Unit B, Reston, VA 20191-4830 Ph: (916) 450-1203 | Phongphan Roach, 2980 Centreville Rd, Herndon, VA 20171-6254 Ph: (703) 994-4561 |
Sydney Chervenic, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 102 Elden St Ste 12, Herndon, VA 20170 Phone: 703-581-8999 | |
Mona Elsayed, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171 Phone: 703-810-5407 | |
Kira Sellar, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2978 Centreville Rd, Herndon, VA 20171 Phone: 703-934-5000 | |
Mrs. Diane Hocker Sullivan, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1554 Kingstream Cir, Herndon, VA 20170 Phone: 703-437-5563 | |
Jennifer Hale, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171 Phone: 703-810-5205 Fax: 703-810-5407 | |
Bradley Jay Deck, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2978 Centreville Rd, Herndon, VA 20171 Phone: 703-934-5000 | |
Madeline Florence Bryant, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1100 Dranesville Rd, Herndon, VA 20170 Phone: 703-952-7292 |