NPI 1356145700

Carly Nicole Bussell, COTAL

Practitioner Occupational Therapy Assistant Ashburn, VA

Practice location

Address: 21750 Red Rum Dr STE 117, Ashburn, VA 20147-5867
Phone: (703) 574-2989
Fax: (703) 574-2941
Mailing address: 12065 Greywing Sq APT B1, Reston, VA 20191-1866

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0131002880 (VA)

Other Occupational Therapy Assistant providers in Virginia →

Registry record

NPI: 1356145700
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2025
Record last updated: 3 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.