| Pediatric Neuro Rehab Services | |
|
407 Church St Ne, Suite D, Vienna, VA 22180-4737 | |
| (703) 242-1921 | |
| (703) 242-1922 |
| Full Name | Pediatric Neuro Rehab Services |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 407 Church St Ne, Vienna, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649353483 | NPI | - | NPPES |
| 372912 | Other | VA | PREFERRED PROVIDER NUMBER |
| 075429639 | Other | VA | TAX ID |
| 192718 | Other | VA | INSURANCE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 0119000736 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neuro Rehab Services 407 Church St Ne, Suite D, Vienna, VA 22180-4737 Ph: (703) 242-1921 | Pediatric Neuro Rehab Services 407 Church St Ne, Suite D, Vienna, VA 22180-4737 Ph: (703) 242-1921 |
Ms. Denise Diver-laver, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 407 Church St Ne, Suite G, Vienna, VA 22180 Phone: 703-255-2339 | |
Mr. Bharat K Vallurupalli, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 226 Maple Ave W, Suite 405, Vienna, VA 22180 Phone: 703-242-4263 Fax: 855-802-9786 | |
Olivia Tyra, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8607 Westwood Center Dr Ste 7, Vienna, VA 22182 Phone: 703-313-1930 | |
Taylor R Riviere, PT, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8206 Leesburg Pike Ste 402, Vienna, VA 22182 Phone: 703-356-3470 Fax: 703-356-3473 | |
Miss Gar Wing Lee, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Church St Ne, Vienna, VA 22180 Phone: 703-938-8585 | |
Ms. Anne C. Witzig, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 Church St Ne, Suite G, Vienna, VA 22180 Phone: 703-255-2339 Fax: 703-255-2402 | |
Margarita Schwind, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8102 Wolftrap Rd, Vienna, VA 22182 Phone: 571-226-8440 |