Doctor Name: | BLANCA CEREZO |
NPI Number: | 1033369277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 18472 |
Business Practice Address: | 13854 Smoketown Rd Woodbridge, VA - 221924210 |
Business Phone Number: | 7036709935 |
Business Fax Number: | 7036709939 |
Mailing Address: | 5252 Lyngate Ct, BURKE |
State: | VA |
Postal Code: | 220151672 |
Phone Number: | 7032392300 |
Fax Number: | 7032392301 |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18472 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |