| Doctor Name: | IAN MICHAEL SLATTERY |
| NPI Number: | 1972823607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | 2305206441 |
| Business Practice Address: | 13039 Worldgate Dr Herndon, VA - 201704374 |
| Business Phone Number: | 7036893164 |
| Business Fax Number: | 7036893167 |
| Mailing Address: | Po Box 1769, MIDDLEBURG |
| State: | VA |
| Postal Code: | 201181769 |
| Phone Number: | 5406878181 |
| Fax Number: | 5406878256 |
| NPI Enumeration Date: | 06/04/2010 |
| NPI Last Update Date: | 07/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305206441 |
| 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 |