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General NPI Number Information
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NPI Number | 1346008133
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Entity Type | Individual
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Provider Name | CARISSA RAE SALVA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 412 1ST ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-1804
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Country | US
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Telephone | 202-470-4185
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 WILKES ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT210002513
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT61419920
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License Number State | WA
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