IndividualActive
Nicole Pellicciotto, MED, ABD
NPI 1720200728 · Developmental Therapist · Fairfax, VA
Provider details
- NPI number
- 1720200728
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MED, ABD
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
11642 Leehigh Drive
Fairfax, VA 22030-5640
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.