| Immaculate Physical Therapy Pc | |
|
117 Casmar St Se, Vienna, VA 22180-6610 | |
| (703) 309-7028 | |
| (800) 928-5061 |
| Full Name | Immaculate Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 117 Casmar St Se, Vienna, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013234657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305205493 (Virginia) | Primary |
| 225100000X | Physical Therapist | 2305204191 (Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Immaculate Physical Therapy Pc 117 Casmar St Se, Vienna, VA 22180-6610 Ph: (703) 309-7028 | Immaculate Physical Therapy Pc 117 Casmar St Se, Vienna, VA 22180-6610 Ph: (703) 309-7028 |
Zeeshan Bhimani, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8206 Leesburg Pike Ste 402, Vienna, VA 22182 Phone: 703-356-3470 | |
Eugenia E Koulizakis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Maple Ave E, Suite 309, Vienna, VA 22180 Phone: 703-281-0288 Fax: 703-281-7089 | |
Camille Eunice Abelardo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8206 Leesburg Pike Ste 403, Vienna, VA 22182 Phone: 703-356-3470 | |
Raina Elizabeth Ceryak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8100 Boone Blvd Ste 140, Vienna, VA 22182 Phone: 703-717-7988 | |
Kathryn Prince, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8230 Old Courthouse Rd Ste 350, Vienna, VA 22182 Phone: 703-749-0223 Fax: 703-749-0225 | |
Amanda Katherine Engebritson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8320 Old Courthouse Rd Ste 410, Vienna, VA 22182 Phone: 703-734-2889 |