Tavares, Heather Marie

Tavares, Heather Marie is an individual health care provider with primary practice located at 6506 Loisdale Rd Ste 300, Springfield VA 22150. 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. Tavares, Heather Marie can be contacted via phone (703) 924-4100.

Contact Information

Primary practice address
6506 Loisdale Rd Ste 300 Springfield VA 22150
Phone: (703) 924-4100
Fax: (703) 922-0638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119003116 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT010000316 District of Columbia

Profile Details

NPI number 1609850387
LBN Legal business name Tavares, Heather Marie
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 20th, 2012 - about 12 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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