Individual
CHRISTINA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4530 WALNEY ROAD, SUITE 203, CHANTILLY, VA 20151
(703) 466-5533
Mailing address
4530 WALNEY ROAD, SUITE 203, CHANTILLY, VA 20151
(703) 466-5533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004057
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195326
ANTHEM PROVIDER NUMBER
VA
01
—
P00213429
RAILROAD PROVIDER NUMBER
VA
Enumeration date
07/08/2005
Last updated
10/13/2014
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