Provider Demographics
NPI:1336867845
Name:CORREA, DEVIN MARIE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:DEVIN
Middle Name:MARIE
Last Name:CORREA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DEVIN
Other - Middle Name:MARIE
Other - Last Name:NESSELRODT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2776 S ARLINGTON MILL DR # 534
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3402
Mailing Address - Country:US
Mailing Address - Phone:703-879-2479
Mailing Address - Fax:703-879-2803
Practice Address - Street 1:6715 LITTLE RIVER TPKE STE 200
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3546
Practice Address - Country:US
Practice Address - Phone:703-879-2479
Practice Address - Fax:703-879-2803
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119008550225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics