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Ms. Colleen O'connell Roche, OTR/L
Specialist in Fairfax, Virginia
NPI 1356321301

Colleen O'connell Roche is a Specialist based in Fairfax, VA. Colleen O'connell Roche practices in Fairfax, VA and has the professional credentials of OTR/L. The NPI Number for Colleen O'connell Roche is 1356321301 and holds a License No. 0333 (Virginia).

The current practice location address for Colleen O'connell Roche is 3174 Ellenwood Dr, Fairfax, VA and can be reached out via phone at 703-280-9593.

Location: 3174 Ellenwood Dr, Fairfax, VA, 22031-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356321301
Provider Name
Colleen O'connell Roche
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
3174 Ellenwood Dr, Fairfax, VA, 22031-2000
Phone Number
703-280-9593
Fax Number
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3174 Ellenwood Dr
City
Fairfax
State
Virginia
Zip
22031-2000
Phone Number
703-280-9593
Fax Number
person
Provider Business Mailing Address Details
Address
3174 Ellenwood Dr
City
Fairfax
State
Virginia
Zip
22031-2000
Phone Number
703-280-9593
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0333 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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