Summer Moriah Rut Petrilli in Sterling - Developmental Therapist
Summer Moriah Rut Petrilli - NPI 1104084219
Summer Moriah Rut Petrilli is a Developmental Therapist in Sterling, Virginia. Summer Moriah Rut Petrilli practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Summer Moriah Rut Petrilli is 1104084219. The last update date is 2022-01-14.
Summer Moriah Rut Petrilli's current location address is 5 Rutledge Ct, Sterling, Virginia. You can contact this provider via phone number 7037314766. The mailing address for Summer Moriah Rut Petrilli is 5 Rutledge Ct, Sterling, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Summer Moriah Rut Petrilli |
|---|---|
| Address | 5 Rutledge Ct, Sterling, Virginia |
| Phone Number | 7037314766 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | BCBA |
NPI Number Detail
| NPI Number | 1104084219 |
|---|---|
| Provider Enumeration Date | 2008-05-26 |
| Last Updated Date | 2022-01-14 |
Provider Mailing Address Detail
| Address | 5 Rutledge Ct |
|---|---|
| City | Sterling |
| State | Virginia (VA) |
| Post Code | 201656243 |
| Phone Number | 7037314766 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | 3131-01-06 0 |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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What is the Summer Moriah Rut Petrilli's 1104084219?
The Summer Moriah Rut Petrilli's NPI (National Provider Identifier) Number is 1104084219. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Summer Moriah Rut Petrilli located?
The Summer Moriah Rut Petrilli is located at 5 Rutledge Ct, Sterling, VA 201656243.
What is Summer Moriah Rut Petrilli's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Summer Moriah Rut Petrilli's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
When did the Summer Moriah Rut Petrilli receive its 1104084219?
The Summer Moriah Rut Petrilli was issued its 1104084219 on 2008-05-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Summer Moriah Rut Petrilli last refreshed?
The information related to the Summer Moriah Rut Petrilli, including its address, specialty, and other relevant details, was last updated on 2022-01-14.