Individual
TRACY CAPILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13854 SMOKETOWN RD, WOODBRIDGE, VA 22192-4210
(703) 670-9935
(703) 670-9939
Mailing address
8316 ARLINGTON BLVD, SUITE 400, FAIRFAX, VA 22031-5207
(703) 560-3190
(703) 560-3194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5122
NC
225X00000X
Occupational Therapist
Primary
0119005662
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301670
—
NC
Enumeration date
05/25/2006
Last updated
11/06/2012
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