Marlise Brunson

NPI #1962213892 in Springfield, Virginia

Provider Information

NPI Number: 1962213892
Entity Type: Individual
Name: Marlise Brunson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 20, 2025
Last Updated: Feb 24, 2025

Practice Location

Address: 6225 BRANDON AVE STE 130
City: Springfield
State: Virginia
ZIP Code: 22150-2519
Phone: (703) 569-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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