Individual
MRS. NEETHU KURUVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
6700 COLUMBIA PIKE, ANNANDALE, VA 22003
(908) 249-2658
Mailing address
3200 ADAMS CT, FAIRFAX, VA 22030-1910
(908) 249-2658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007447
VA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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