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NPI Code Detail

MEDICARE: SJORIBEL E TRAVERSO CTRS

MEDICARE:   SJORIBEL E TRAVERSO  CTRS
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
1225800000XRecreation Therapist4707NC

General Provider Information

NPI Number : 1922989847
Entity Type Code : Individual
Provider Name (Legal Business Name) : SJORIBEL E TRAVERSO CTRS
Provider Business Mailing Address
First Line : 6835E WASHINGTON BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22213-1123
Country : US
Telephone Number : 703-593-0650
Fax Number :
Provider Business Practice Location Address
First Line : 6835E WASHINGTON BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22213-1123
Country : US
Telephone Number : 703-593-0650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2025
Last Update Date : 09/09/2025

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Directions to “ SJORIBEL E TRAVERSO CTRS” Practice Location

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