Individual
MRS. CAROLINE LEA LUISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 689-9047
Mailing address
43603 PLANTATION TER, ASHBURN, VA 20147-4620
(703) 858-5038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003728
VA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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