NPI 1053579250 MRS. LARISSA GIZELLE NEAL ASHBURN VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Larissa Gizelle Neal - NPI: 1053579250

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. LARISSA GIZELLE NEAL
NPI Number: 1053579250
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 2305204903
Business Practice Address: 1640 Redstone Center Dr
200 Park City, UT - 840987605
Business Phone Number: 8888008744
Business Fax Number:
Mailing Address: 44863 Milestone Sq, 302
ASHBURN
State: VA
Postal Code: 201474203
Phone Number: 7037297311
Fax Number:
NPI Enumeration Date: 05/26/2008
NPI Last Update Date: 05/26/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2251G0304X
License Number: 2305204903
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Physical Therapist
Taxonomy Specialization: Geriatrics
Taxonomy Definition:


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