Therese Mae Jolo Bantasan, OTR/L
NPI #1972980886 in Springfield, Virginia
Provider Information
- NPI Number
- 1972980886
- Entity Type
- Individual
- Name
- Therese Mae Jolo Bantasan, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Apr 29, 2015
- Last Updated
- Apr 29, 2015
Practice Location
- Address
- 6103 BARDU AVE
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-1802
- Phone
- (847) 271-2017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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