Doctor Name: | GABRIELLE PHAM-CHE |
NPI Number: | 1033587365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2305209879 |
Business Practice Address: | 1860 Town Center Dr Reston, VA - 201905896 |
Business Phone Number: | 7034834684 |
Business Fax Number: | |
Mailing Address: | 1860 Town Center Dr, Suite 300 RESTON |
State: | VA |
Postal Code: | 201905896 |
Phone Number: | 7034356604 |
Fax Number: | 7037876575 |
NPI Enumeration Date: | 09/03/2015 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2305209879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |