Individual provider · Type 1 NPI

Kevin Kisiedu, OT

Occupational Therapist · Fairfax, VA

NPI number 1760156038 Active

Practice location

8501 Arlington Blvd
Fairfax, VA 22031-4617

Call (703) 205-1919 Map

Mailing address

16740 Flotilla Way
Woodbridge, VA 22191-6301

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119-009208 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1760156038

Kevin Kisiedu, OT's National Provider Identifier is 1760156038, issued on Aug 2, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fairfax, VA. The record was last updated on Sep 1, 2021.