Bryan, Leanne Nicole

Bryan, Leanne Nicole is an sole proprietor health care provider with primary practice located at 8270 Willow Oaks Corporate Dr , Fairfax VA 22031-4511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bryan, Leanne Nicole can be contacted via phone (571) 423-4864.

Contact Information

Primary practice address
8270 Willow Oaks Corporate Dr Fairfax VA 22031-4511
Phone: (571) 423-4864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119003924 Virginia

Profile Details

NPI number 1235152661
LBN Legal business name Bryan, Leanne Nicole
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235152661 NPPES
Virginia MEDICAID 4980701

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