Healthcare Provider Details

I. General information

NPI: 1497983746
Provider Name (Legal Business Name): KERRI NEWMAN-DARROW OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 11/18/2023
Certification Date: 11/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1039 FICKLEN RD
FREDERICKSBURG VA
22405-2101
US

IV. Provider business mailing address

1039 FICKLEN RD
FREDERICKSBURG VA
22405-2101
US

V. Phone/Fax

Practice location:
  • Phone: 662-832-3940
  • Fax: 540-930-0748
Mailing address:
  • Phone: 662-832-3940
  • Fax: 301-932-4789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number2305211081
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119006651
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: