Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN LANE CARROLL
ActiveETHAN LANE CARROLL is a Occupational Therapist healthcare provider located in MC LEAN, Virginia. NPI 1548855141 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MC LEAN, VA
Registration Details
- NPI Number
- 1548855141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2021 (5.4389210129203 yrs)
- Last Updated
- Mar 4, 2021
- License
-
2306605698 (VA)
Practice Information
- Address
-
6858 OLD DOMINION DR STE 200MC LEAN, VA, 221013832Browse VA providers · Browse ZIP 22101
- Phone
- 7032888260
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MC LEAN, VA
| Name | Credential | NPI |
|---|---|---|
| BUKUNOLA CAILLIER | — | 1285067785 |
| MR. JOHN BULT | LPTA | 1811371156 |
| ROBERT FITZGERALD PEREDDO | LPTA | 1457833766 |
| MS. MERSAL ZAMAN | — | 1194498923 |
| JUSTIN MEADE GRIGGS | — | 1720714934 |
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.