Charles S Ottavio P.T., OCS

NPI 1013076231 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1013076231
Gender Male
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7023 LITTLE RIVER TPKE
SUITE #400
ANNANDALE VA, 22003-5939, US
Phone (703) 354-1230
Fax (703) 354-5691
Business Location
9519 STEVEBROOK RD
FAIRFAX VA, 22032-2033, US
Phone (703) 426-7270
Fax
Toxanomy
Taxonomy Code 208100000X
License State Virginia
License Number 0105 003367
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According to our database, Charles S Ottavio P.T., OCS NPI is 1013076231, taxonomy code is 208100000X and license number is 0105 003367, license state is located at Virginia. Charles S Ottavio P.T., OCS physically located at 7023 Little River Tpke, Annandale VA, 22003-5939. NPI Number Charles S Ottavio P.T., OCS has the Individual type.

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1013076231 NPI number is provided on an as is basis without warranty of any kind. 1013076231 is maintained by the National Plan & Provider Enumeration System. The contents of Charles S Ottavio P.T., OCS are for informational purposes only.