Search › Virginia › 101YP2500X
Carly Ikuma
NPI 1427571629 · on the registry since 2017
Practice
- Address
- 9663 Main St Ste D
Fairfax, VA 22031 - Phone
- (703) 303-8832
- Organisation at this address
- Vanguard Therapy, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia