Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kidist Surafel, COTA/L

Individual provider Occupational Therapist · NPI 1558002790

Kidist Surafel, COTA/L is an Occupational Therapist in Alexandria, Virginia. Licensed in District of Columbia. Registered with an NPI since 2022.

Licensed in
DC
In the registry since
2022
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

5148 Woodmire Ln
Alexandria, VA 22311-1301
Phone: (703) 244-1191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTA100000204 (DC)

Record details

NPI number1558002790
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedApril 3, 2022
Last updated in NPPESApril 3, 2022
Certification dateApril 2, 2022

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