| NPI | 1992855167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI ROTH Occupational Therapist 703-583-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119000443) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |