Healthcare Provider Details

I. General information

NPI: 1033691811
Provider Name (Legal Business Name): REBECCA LEARNED LAMBRIGHT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11240 WAPLES MILL RD
FAIRFAX VA
22030-6078
US

IV. Provider business mailing address

3018 MILLSTREAM CT
OAK HILL VA
20171-1520
US

V. Phone/Fax

Practice location:
  • Phone: 703-237-2219
  • Fax: 703-237-2729
Mailing address:
  • Phone: 703-860-4991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0019-007702
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: