MEDICARE: NATHALIA A CONOVER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT871093	DC

General Provider Information

NPI Number	:	1609101518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHALIA A CONOVER DPT

Provider Business Mailing Address
First Line	:	46622 DRYSDALE TER UNIT 303
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-4370
Country	:	US
Telephone Number	:	703-403-0095
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 INVENTA PL STE 150
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-5171
Country	:	US
Telephone Number	:	301-576-2010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2009
Last Update Date	:	09/11/2025

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