CHARA CIVITELLO

BURKE, VA
NPI1255717575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: VA  0119006625)
Enumeration Date2015-08-10
Last Update Date2015-08-10
Business Address
-- CHARA CIVITELLO occupational therapy
5804 CHASE COMMONS COURT APT 207
BURKE, VA 22015
Phone number: 323-350-8395
Mailing Address
-- CHARA CIVITELLO occupational therapy
5804 CHASE COMMONS CT APT 207
BURKE, VA 22015-4640
Phone number: 323-350-8395