Organization Name: | IMMACULATE PHYSICAL THERAPY PC |
NPI Number: | 1013234657 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DALIA M ELASHKER (DIRECTOR) |
Mailing Address: | 117 Casmar St Se Vienna |
State: | VA US |
Postal Code: | 221806610 |
Phone Number: | 7033097028 |
Fax Number: | 8009285061 |
NPI Enumeration Date: | 04/21/2010 |
NPI Last Update Date: | 04/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305204191 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |