| Doctor Name: | MR. POOLATSYA GIRISHBHAI MALIWAD |
| NPI Number: | 1871924985 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 2305207804 |
| Business Practice Address: | 22960 Shaw Rd Suite 605 Sterling, VA - 201669447 |
| Business Phone Number: | 4107509006 |
| Business Fax Number: | |
| Mailing Address: | 3111 Honeywood Ln, Apt-g ROANOKE |
| State: | VA |
| Postal Code: | 240188871 |
| Phone Number: | 5515805281 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2013 |
| NPI Last Update Date: | 11/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305207804 |
| 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 |