Individual provider · Type 1 NPI

Therese Mae Jolo Bantasan, OTR/L

Occupational Therapist · Springfield, VA

NPI number 1972980886 Active

Practice location

6103 Bardu Ave
Springfield, VA 22152-1802

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119005106 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1972980886

Therese Mae Jolo Bantasan, OTR/L's National Provider Identifier is 1972980886, issued on Apr 29, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Springfield, VA. The record was last updated on Apr 29, 2015.