Dr Carla J Bouma, PT, DPT | |
6355 Walker Ln Ste 204, Alexandria, VA 22310-3257 | |
(703) 810-5211 | |
(703) 810-5494 |
Full Name | Dr Carla J Bouma |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6355 Walker Ln Ste 204, Alexandria, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548540479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305204072 (Virginia) | Primary |
Provider Name | Orthovirginia Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588066740 PECOS PAC ID: 0547157224 Enrollment ID: O20150102000273 |
Mailing Address | Practice Location Address |
---|---|
Dr Carla J Bouma, PT, DPT 11240 Waples Mill Rd Ste 403, Fairfax, VA 22030-6078 Ph: (703) 383-6454 | Dr Carla J Bouma, PT, DPT 6355 Walker Ln Ste 204, Alexandria, VA 22310-3257 Ph: (703) 810-5211 |
Danielle Leshinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4613 Duke St Ste B, Alexandria, VA 22304 Phone: 703-751-1052 Fax: 703-751-1053 | |
Natalie Lauren De Selding, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Reinekers Ln Ste Gr4, Alexandria, VA 22314 Phone: 703-299-3111 | |
Rabab Shah, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6856 Richmond Hwy, Alexandria, VA 22306 Phone: 571-348-1201 | |
Karen Godley, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6910 Richmond Hwy Ste 200, Alexandria, VA 22306 Phone: 703-765-7700 | |
Ms. Carolyn Haugh Byron, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 Radford Ave Ste 100, Alexandria, VA 22309 Phone: 571-481-4547 Fax: 571-551-6419 | |
Breanna Nicole Mcdavid, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 Duke St, Gr04, Alexandria, VA 22314 Phone: 703-299-3111 | |
Chelsea Kemlage, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Ln, Suite 204, Alexandria, VA 22310 Phone: 703-810-5214 Fax: 703-810-5494 |