Doctor Name: | MRS. JENNIFER OLEK KONCHAR |
NPI Number: | 1508870320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 2305202318 |
Business Practice Address: | 8501 Arlington Blvd Suite 400 Fairfax, VA - 220314617 |
Business Phone Number: | 7038105218 |
Business Fax Number: | 7038105494 |
Mailing Address: | 11240 Waples Mill Road, Suite 403 FAIRFAX |
State: | VA |
Postal Code: | 22030 |
Phone Number: | 7033836454 |
Fax Number: | 7038105494 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305202318 |
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 |