Provider Demographics
NPI:1932210705
Name:PISANI, MARCELA ABRIL (OTR)
Entity Type:Individual
Prefix:MS
First Name:MARCELA
Middle Name:ABRIL
Last Name:PISANI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 S FOX RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-1307
Mailing Address - Country:US
Mailing Address - Phone:703-421-9259
Mailing Address - Fax:
Practice Address - Street 1:906 TRAILVIEW BLVD SE
Practice Address - Street 2:SUITE A
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4415
Practice Address - Country:US
Practice Address - Phone:703-771-5171
Practice Address - Fax:703-737-8235
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002345225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist