IndividualActive
Chara Civitello, OCCUPATIONAL THERAPY
NPI 1255717575 · Physical Rehabilitation Occupational Therapist · Burke, VA
Provider details
- NPI number
- 1255717575
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OCCUPATIONAL THERAPY
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0119006625 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5804 Chase Commons Court Apt 207
Burke, VA 22015
Phone: (323) 350-8395
Approximate (ZIP-level) locationGet directions
Mailing address
5804 Chase Commons Ct Apt 207
Burke, VA 22015-4640
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2015-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.