Individual
MICHELLE LEE DELFAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6273 FRANCONIA RD, ALEXANDRIA, VA 22310-2510
(703) 719-9460
(703) 719-9461
Mailing address
3930 PENDER DR, SUITE 120, FAIRFAX, VA 22030-0985
(703) 255-2339
(703) 255-2402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005162
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7914198
AETNA
—
01
—
LU60
BCBS OF MARYLAND
—
01
—
T208
BLUECHOICE GHMSI
—
Enumeration date
11/24/2008
Last updated
10/05/2010
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