MEDICARE: BARBRA ALMOND OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	0119003203	VA

General Provider Information

NPI Number	:	1962401018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBRA ALMOND OT

Provider Business Mailing Address
First Line	:	9900 MAIN ST
Second Line	:	SUITE 200A
City	:	FAIRFAX
State	:	VA
Zip	:	22031-3907
Country	:	US
Telephone Number	:	703-279-4394
Fax Number	:	703-279-4214

Provider Business Practice Location Address
First Line	:	6201 CENTREVILLE RD
Second Line	:	SUITE 500
City	:	CENTREVILLE
State	:	VA
Zip	:	20121-2626
Country	:	US
Telephone Number	:	703-263-2095
Fax Number	:	703-263-2098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	10/18/2017

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