Charles S Ottavio
Physical Medicine & Rehabilitation Doctor
7023 Little River Tpke Suite #400
Annandale
, Virginia 22003-5939
Charles S Ottavio
Physical Medicine & Rehabilitation Doctor
7023 Little River Tpke Suite #400
Annandale
, Virginia 22003-5939
(703) 426-7270
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Charles S Ottavio
- 9519 Stevebrook Rd
- Fairfax, VA
- Zip : 22032-2033
- Phone : (703) 426-7270
Second Address
- Charles S Ottavio
- 7023 Little River Tpke Suite #400
- Annandale, VA
- Zip : 22003-5939
- Fax : (703) 354-5691
- Phone : (703) 354-1230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0105 003367 | VA |
National Provider Identifier
| NPI | 1013076231 |
|---|---|
| Provider Name | Charles S Ottavio |
| First Address | Fairfax, VA 22032-2033 |
| Second Address | Annandale, VA 22003-5939 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2006 |
| Last Update Date | 08/07/2007 |
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.