Individual
MISS KELSEY ANN KINNARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD,
Contact information
Practice address
6231 LEESBURG PIKE, SUITE 500, FALLS CHURCH, VA 22044-2102
(703) 536-1817
Mailing address
900 N RANDOLPH ST, APT 1516, ARLINGTON, VA 22203-1949
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119007281
VA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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