Individual
MRS. KAITLYN MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 VIRGINIA AVE, ALEXANDRIA, VA 22302-3200
(540) 336-9251
Mailing address
7758 NEW PROVIDENCE DR APT 9, FALLS CHURCH, VA 22042-4415
(540) 336-9251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-008004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119-008004
VA STATE LICENSE NUMBER
VA
Enumeration date
07/22/2019
Last updated
07/22/2019
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