Kraft, Carissa

Kraft, Carissa is an individual health care provider with primary practice located at 5618 Ox Rd Suite H, Fairfax Station VA 22039-1018. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kraft, Carissa can be contacted via phone (703) 426-4949.

Contact Information

Primary practice address
5618 Ox Rd Suite H Fairfax Station VA 22039-1018
Phone: (703) 426-4949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305202333 Virginia

Profile Details

NPI number 1538279021
LBN Legal business name Kraft, Carissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538279021 NPPES
Virginia Other 2305202333 LICENSE #

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