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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA FASANELLO, COTA/L

Active Sole Proprietor

TARA FASANELLO, COTA/L is a Occupational Therapy Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1346638079 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FAIRFAX, VA

Registration Details

NPI Number
1346638079
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2015 (11.421828536359 yrs)
Last Updated
Jan 5, 2015
License
0131000874 (VA)
Sole Proprietor
Yes

Practice Information

Address
12628 FAIR CREST CT
FAIRFAX, VA, 220333888
Browse VA providers · Browse ZIP 22033
Phone
7246644521
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FAIRFAX, VA

Name Credential NPI
MRS. ALICIA ERIN RIEG COTA/L 1952610248
MS. AMANDA MENDEZ L 1447615547
VIAN AL-BAIATI COTA/L 1063870236
TAMIKO SMITH COTA/L 1528416179
THOMAS ZAMARY COTA 1770017204
MARIA CRISTELA PLATERO BARRERA COTA/L 1548754765
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.