Provider Demographics
NPI:1891022968
Name:EIBEN, KYLE ARDEN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:ARDEN
Last Name:EIBEN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8865 TENBURY CT
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-2016
Mailing Address - Country:US
Mailing Address - Phone:814-882-0183
Mailing Address - Fax:
Practice Address - Street 1:1768 BUSINESS CENTER DR STE 330
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-4882
Practice Address - Country:US
Practice Address - Phone:703-679-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty