Healthcare Provider Details

I. General information

NPI: 1487945911
Provider Name (Legal Business Name): EILEEN MARIE KUHN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21851 ENGLESIDE PL
ASHBURN VA
20148-4541
US

IV. Provider business mailing address

21851 ENGLESIDE PL
ASHBURN VA
20148-4541
US

V. Phone/Fax

Practice location:
  • Phone: 571-333-1133
  • Fax:
Mailing address:
  • Phone: 571-333-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119001496
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: