Individual
SURABHI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3750 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1742
(703) 391-1026
(703) 391-1027
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4249
(703) 279-4271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003570
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010105072
—
VA
Enumeration date
06/17/2008
Last updated
06/17/2008
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