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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA MAY CANTU-LANE, PTA

Active

JESSICA MAY CANTU-LANE, PTA is a Occupational Therapist healthcare provider located in FAIRFAX STATION, Virginia. NPI 1043510639 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FAIRFAX STATION, VA

Registration Details

NPI Number
1043510639
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2010 (15.611703066403 yrs)
Last Updated
Mar 21, 2018
Licenses
2306602886 (VA)
6393 (TN)
2127726 (TX)

Practice Information

Address
5618H OX RD
FAIRFAX STATION, VA, 220391018
Browse VA providers · Browse ZIP 22039
Phone
7034264949
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in FAIRFAX STATION, VA

Name Credential NPI
MRS. ELISKA AMYX PTA 1760759955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.