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NPI Code Detail

MEDICARE: LEAH SALLADA

MEDICARE: LEAH SALLADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119-008074VA

General Provider Information

NPI Number : 1447819917
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH SALLADA
Provider Business Mailing Address
First Line : 2105 N GLEBE RD UNIT 1304
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-2232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7116 FORT HUNT RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22307-1900
Country : US
Telephone Number : 703-768-0234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 06/10/2019

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Directions to “ LEAH SALLADA ” Practice Location

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