Doctor Name: | MR. ERIC AARON INGOLD |
NPI Number: | 1396896205 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2305202442 |
Business Practice Address: | 209 Elden St Suite 106 Herndon, VA - 201704852 |
Business Phone Number: | 7034813551 |
Business Fax Number: | 7034813276 |
Mailing Address: | 16545 Goldencrest Cir, Suite 106 PURCELLVILLE |
State: | VA |
Postal Code: | 201329654 |
Phone Number: | 5718589398 |
Fax Number: | 5718589398 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305202442 |
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 |