| Doctor Name: | HADI FATHALIKHANI |
| NPI Number: | 1962407411 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2305003984 |
| Business Practice Address: | 12546 Dillingham Sq # 101 Woodbridge, VA - 221925259 |
| Business Phone Number: | 7037306969 |
| Business Fax Number: | 7037301169 |
| Mailing Address: | 14014 Sullyfield Cir, Ste B CHANTILLY |
| State: | VA |
| Postal Code: | 201511689 |
| Phone Number: | 7032632020 |
| Fax Number: | 7032632015 |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305003984 |
| 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 |