Provider Demographics
NPI:1689087843
Name:VIRK, HARINDER JEET KAUR (OTR/L)
Entity Type:Individual
Prefix:
First Name:HARINDER JEET
Middle Name:KAUR
Last Name:VIRK
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 1:22960 SHAW RD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-9447
Mailing Address - Country:US
Mailing Address - Phone:703-798-7506
Mailing Address - Fax:
Practice Address - Street 1:22960 SHAW RD
Practice Address - Street 2:SUITE 605
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-9447
Practice Address - Country:US
Practice Address - Phone:703-798-7506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11272225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist