MEDICARE: MINIELY ARIAS

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
1	225X00000X	Occupational Therapist	0119011389	VA

General Provider Information

NPI Number	:	1881204477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINIELY ARIAS

Provider Business Mailing Address
First Line	:	5621 TIDEWATER DR STE B
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23509-1497
Country	:	US
Telephone Number	:	757-351-4244
Fax Number	:	757-351-4244

Provider Business Practice Location Address
First Line	:	5621 TIDEWATER DR STE B
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23509-1497
Country	:	US
Telephone Number	:	757-351-4244
Fax Number	:	757-351-4244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	04/22/2026

Similar Medicare Providers

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Practice Location Address:

5621 TIDEWATER DR STE B
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23509-1497

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Practice Fax:

1538675848 — NATALIE BRYAN
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1417572470 — LAURA BLANDINA POLLOCK RBT
Practice Location Address:

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23509-1497

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1407469539 — SHAHROZ DAUD
Practice Location Address:

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1548940968 — TIFFANY BARNHART PT, DPT
Practice Location Address:

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Practice Fax:

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