Individual
KATHLEEN FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1602 BELLE VIEW BLVD # 3189, ALEXANDRIA, VA 22307-6531
(716) 969-5469
Mailing address
1602 BELLE VIEW BLVD # 3189, ALEXANDRIA, VA 22307-6531
(314) 458-6313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119006040
VA
Other
Enumeration date
09/18/2007
Last updated
03/05/2019
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