| Doctor Name: | TRACY CAPILI |
| NPI Number: | 1053367920 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 5122 |
| Business Practice Address: | 13854 Smoketown Rd Woodbridge, VA - 221924210 |
| Business Phone Number: | 7036709935 |
| Business Fax Number: | 7036709939 |
| Mailing Address: | 8316 Arlington Blvd, Suite 400 FAIRFAX |
| State: | VA |
| Postal Code: | 220315207 |
| Phone Number: | 7035603190 |
| Fax Number: | 7035603194 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 5122 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |