Therese Mae Jolo Bantasan, OTR/L | |
6103 Bardu Ave, Springfield, VA 22152-1802 | |
(847) 271-2017 | |
Not Available |
Full Name | Therese Mae Jolo Bantasan |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 6103 Bardu Ave, Springfield, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972980886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119005106 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Therese Mae Jolo Bantasan, OTR/L 6103 Bardu Ave, Springfield, VA 22152-1802 Ph: (847) 271-2017 | Therese Mae Jolo Bantasan, OTR/L 6103 Bardu Ave, Springfield, VA 22152-1802 Ph: (847) 271-2017 |
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