Doctor Name: | MR. ROBERTO INFANTE |
NPI Number: | 1043344963 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2305001625 |
Business Practice Address: | 4229 Lafayette Center Dr 1250 Chantilly, VA - 201511209 |
Business Phone Number: | 7032632020 |
Business Fax Number: | 7032632015 |
Mailing Address: | 14605 Potomac Branch Dr, Ste 300 WOODBRIDGE |
State: | VA |
Postal Code: | 221913337 |
Phone Number: | 7034901112 |
Fax Number: | 7038788735 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305001625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |