| Evangeline De Leon, PT, DPT | |
|
2441 N Harrison St Ste 2443, Arlington, VA 22207-1611 | |
| (571) 533-3686 | |
| (571) 534-4800 |
| Full Name | Evangeline De Leon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2441 N Harrison St Ste 2443, Arlington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942956263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305214667 (Virginia) | Primary |
| Provider Name | Ati Holdings Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20140610001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Evangeline De Leon, PT, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Evangeline De Leon, PT, DPT 2441 N Harrison St Ste 2443, Arlington, VA 22207-1611 Ph: (571) 533-3686 |
Bal Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4514 36th St S Apt B1, Arlington, VA 22206 Phone: 703-967-9981 | |
Maxwell Blake, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Wilson Blvd Ste 102, Arlington, VA 22209 Phone: 703-935-1996 Fax: 703-935-1995 | |
Anjali R Ghodake, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2441 N Harrison St Ste 2443, Arlington, VA 22207 Phone: 571-533-3686 Fax: 571-534-4800 | |
George Gradwell Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Glebe Rd Ste Gr2, Arlington, VA 22203 Phone: 703-527-1700 | |
Jessica Lavine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2301 Columbia Pike Apt 125, Arlington, VA 22204 Phone: 571-701-2191 | |
Mrs. Julie Marie Carpenter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5165 11th St S, Arlington, VA 22204 Phone: 703-933-0297 | |
Allyson M Kuhn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 N Glebe Rd, Arlington, VA 22201 Phone: 571-414-6930 |