Beth Kohler Hollingsworth
Individual provider Active NPI Occupational Therapist · Manassas Park, VA
NPI 1568950376 · NPPES record last updated Apr 26, 2018
Key facts
- NPI
- 1568950376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119000797 (VA)
- Practice address
- 9330 Brandon St
Manassas Park, VA 20111-8202 - Phone
- (703) 392-1317
- NPI assigned
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119000797 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119000797 | VA | Yes |
Addresses
Primary practice location
9330 Brandon St
Manassas Park, VA 20111-8202
Mailing address
8802 Quarry Rd
Manassas, VA 20110-5317
Phone (703) 915-3293
Other practice location 1
1978 Eagle Way
Manassas, VA 20110
Phone (571) 377-6100
Other providers in Manassas Park, VA
- Meredith Caitlin Gonzalez
- Edoricia Mariana Guerra
- Lea Hamill
- Alanna Marie Harmon-Guerrero
- Olivia Holcomb
- Laura Howard
- Rebecca Sarah Hussion
- Jannat Ijaz
- Suad Ahmed Jama
- Shawniqua James
All providers in Manassas Park, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2018. 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.