Provider Demographics
NPI:1568528719
Name:ANDO-WINSTEAD, VERA M (CMT)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:M
Last Name:ANDO-WINSTEAD
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-1128
Mailing Address - Country:US
Mailing Address - Phone:703-909-7162
Mailing Address - Fax:
Practice Address - Street 1:3613 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-1128
Practice Address - Country:US
Practice Address - Phone:703-909-7162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019004807225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist