Provider Demographics
NPI:1144509548
Name:PICKLAP, ANNE K (MS OT)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:PICKLAP
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Gender:F
Credentials:MS OT
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Mailing Address - Street 1:6506 LOISDALE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1824
Mailing Address - Country:US
Mailing Address - Phone:703-924-4100
Mailing Address - Fax:703-922-5048
Practice Address - Street 1:6506 LOISDALE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1824
Practice Address - Country:US
Practice Address - Phone:703-924-4100
Practice Address - Fax:703-922-5048
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2012-08-27
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Provider Licenses
StateLicense IDTaxonomies
VA0119005746225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics