Healthcare Provider Details
I. General information
NPI: 1932235546
Provider Name (Legal Business Name): KAVITA ARORA PH.D., MS PT MS OTR/
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/26/2007
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4528 PLANK RD
FREDERICKSBURG VA
22407-0141
US
IV. Provider business mailing address
4528 PLANK RD
FREDERICKSBURG VA
22407-0141
US
V. Phone/Fax
- Phone: 540-841-4443
- Fax: 703-563-7306
- Phone: 540-424-6767
- Fax: 703-563-7306
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 0133001527 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2305205283 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 0119004795 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: