Doctor Name: | MRS. MARSHA TRACELYN EDWARDS COLON |
NPI Number: | 1922289768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 2305204344 |
Business Practice Address: | 8805 Sudley Rd Suite 200 A Manassas, VA - 201104740 |
Business Phone Number: | 7033358280 |
Business Fax Number: | |
Mailing Address: | 11262 Wortham Crest Cir, MANASSAS |
State: | VA |
Postal Code: | 201095696 |
Phone Number: | 3014522168 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305204344 |
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 |