Makenna Park
Makenna Park is an Occupational Therapist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2024.
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
8270 Willow Oaks Corporate DrFairfax, VA 22031-4530
Phone: (571) 423-4864
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 0119010361 (VA) |
|---|
Record details
| NPI number | 1457121048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 4, 2024 |
| Last updated in NPPES | January 10, 2025 |
| Certification date | January 10, 2025 |
| Mailing address | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 |
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Pamela Nolan
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Christiana O Olabanji
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Monica Pierce
8270 Willow Oaks Corporate Dr Fl 2, Fairfax, VA 22031-4530 · (571) 423-4864