Individual
MS. SHWETA KRISHNAN IYENGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
Mailing address
8033 TYSON OAKS CIR, VIENNA, VA 22182-3941
(716) 425-6047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06336
MD
Other
Enumeration date
07/26/2010
Last updated
10/20/2024
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