Phongphan Roach
Phongphan Roach is a Physical Rehabilitation Occupational Therapist in Herndon, Virginia. Licensed in Virginia. Registered with an NPI since 2017.
- Licensed in
- VA
- In the registry since
- 2017
Practice location Address checks out
2980 Centreville RdHerndon, VA 20171-6254
Phone: (703) 994-4561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Rehabilitation Occupational Therapist (primary) | Taxonomy 225XP0019X · Licence 0131001567 (VA) |
|---|
Record details
| NPI number | 1326558925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 9, 2017 |
| Last updated in NPPES | October 9, 2017 |
| Mailing address | 1912 Villaridge Dr Unit B, Reston, VA 20191-4830 |
Other providers in Herndon
-
Mrs. Diane Hocker Sullivan, MSOTR/L
1554 Kingstream Cir, Herndon, VA 20170-2752 · (703) 437-5563