Carissa Naomi Worm
Occupational Therapist - Physical Rehabilitation
432 Kendall Hvn
Smithfield
, Virginia 23430-5837
Carissa Naomi Worm
Occupational Therapist - Physical Rehabilitation
432 Kendall Hvn
Smithfield
, Virginia 23430-5837
(757) 345-9166
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Carissa Naomi Worm
- 432 Kendall Hvn
- Smithfield, VA
- Zip : 23430-5837
- Phone : (757) 345-9166
Second Address
- Carissa Naomi Worm
- 432 Kendall Hvn
- Smithfield, VA
- Zip : 23430-5837
- Phone : (757) 345-9166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0119006560 | VA |
National Provider Identifier
| NPI | 1083008726 |
|---|---|
| Provider Name | Carissa Naomi Worm |
| First Address | Smithfield, VA 23430-5837 |
| Second Address | Smithfield, VA 23430-5837 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2015 |
| Last Update Date | 25/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.