Provider Demographics
NPI:1235345273
Name:STOLTZFUS, KATHIE L (MS OTRL)
Entity Type:Individual
Prefix:MS
First Name:KATHIE
Middle Name:L
Last Name:STOLTZFUS
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6521 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3016
Mailing Address - Country:US
Mailing Address - Phone:202-997-1286
Mailing Address - Fax:
Practice Address - Street 1:6521 ARLINGTON BLVD
Practice Address - Street 2:SUITE 312
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3016
Practice Address - Country:US
Practice Address - Phone:202-997-1286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2012-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04205225XP0200X
VA0119003714225XP0200X
DC827225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics