Provider Demographics
NPI:1649414889
Name:HOARD, ALYSSA AARAN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:AARAN
Last Name:HOARD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12052 NORTH SHORE DRIVE
Mailing Address - Street 2:TALL OAKS AT RESTON
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-4969
Mailing Address - Country:US
Mailing Address - Phone:703-481-0528
Mailing Address - Fax:703-481-0560
Practice Address - Street 1:12052 N SHORE DR
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-4969
Practice Address - Country:US
Practice Address - Phone:703-481-0528
Practice Address - Fax:703-481-0560
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119001994225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist