Individual
CHARLES S OTTAVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., OCS
Contact information
Practice address
7023 LITTLE RIVER TPKE, SUITE #400, ANNANDALE, VA 22003-5939
(703) 354-1230
(703) 354-5691
Mailing address
9519 STEVEBROOK RD, FAIRFAX, VA 22032-2033
(703) 426-7270
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0105 003367
VA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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