IndividualActive
Amanda Longstreet
NPI 1992051668 · Pediatric Occupational Therapist · Springfield, VA
Provider details
- NPI number
- 1992051668
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0119004846 (VA)
Practice location
8348 Traford Ln
Suite 200
Springfield, VA 22152-1663
Phone: (703) 569-7500
Fax: (703) 866-0158
Mailing address
8348 Traford Ln
Springfield, VA 22152-1663
Registry dates
- Enumerated
- 2012-07-31
- Last updated
- 2012-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.