Shallese Abrams
Individual provider Active NPI Occupational Therapy Assistant · MC Lean, VA
NPI 1104581727 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1104581727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 1739 Kirby Rd
MC Lean, VA 22101-4817 - Phone
- (703) 506-6900
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | VA | Yes |
Addresses
Primary practice location
1739 Kirby Rd
MC Lean, VA 22101-4817
Mailing address
8416 Granite LN
Manassas, VA 20111-2345
Phone (702) 538-4708
Other providers in MC Lean, VA
- Suhad Abdallah
- Abibi01 Corporation
- Abigail Counseling Services, LLC
- Annalise Oluwatoyin Abiodun
- Jonathan Abraham
- Khawla Abuaqel
- Salma Elkadi Abugideiri
- Mona Ezzat Abuhamda
- Zviadi Aburjania
- Jessica Lynn Acevedo
All providers in MC Lean, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.