Doctor Name: | LORRAINE CAPPELLI |
NPI Number: | 1639155369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2305001448 |
Business Practice Address: | 3031 Javier Rd Suite 100 Fairfax, VA - 220314637 |
Business Phone Number: | 7032081002 |
Business Fax Number: | 7032081127 |
Mailing Address: | Po Box 1769, MIDDLEBURG |
State: | VA |
Postal Code: | 201181769 |
Phone Number: | 5406878181 |
Fax Number: | 5406878256 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2305001448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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. |