NPI 1720200728

Nicole Alyssa Pellicciotto, MEDABD

Practitioner Developmental Therapist Fairfax, VA

Practice location

Address: 11642 Leehigh Drive, Fairfax, VA 22030-5640
Phone: (703) 819-4697

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Virginia →

Registry record

NPI: 1720200728
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2007
Record last updated: 8 Jul 2007

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.