Provider Demographics
NPI:1720167067
Name:LUTHRA, SONAAL (OT)
Entity Type:Individual
Prefix:
First Name:SONAAL
Middle Name:
Last Name:LUTHRA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:SONAAL
Other - Middle Name:
Other - Last Name:KAPOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:13660 SWEET WOODRUFF LN
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-2604
Mailing Address - Country:US
Mailing Address - Phone:202-441-5222
Mailing Address - Fax:703-940-0267
Practice Address - Street 1:13660 SWEET WOODRUFF LN
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-2604
Practice Address - Country:US
Practice Address - Phone:202-441-5222
Practice Address - Fax:703-940-0267
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003007225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist