Kayla Sharma, | |
12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192-3602 | |
(703) 647-3130 | |
Not Available |
Full Name | Kayla Sharma |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 12825 Minnieville Rd Ste 201, Lake Ridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730596966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119005514 (Virginia) | Primary |
Provider Name | Hand And Upper Extremity Rehab, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164466454 PECOS PAC ID: 8527071406 Enrollment ID: O20060718000287 |
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20180906000725 |
Mailing Address | Practice Location Address |
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Kayla Sharma, 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192-3602 Ph: (703) 647-3130 | Kayla Sharma, 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192-3602 Ph: (703) 647-3130 |
Ms. Logan Denise Luke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-457-8648 | |
Taryn Nichelle Pettigrew, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12185 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-457-8648 |