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NPI Code Detail

MEDICARE: POOJA SONI

MEDICARE: POOJA SONI
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
12251G0304XGeriatric Physical Therapist2305207934VA

General Provider Information

NPI Number : 1770063570
Entity Type Code : Individual
Provider Name (Legal Business Name) : POOJA SONI
Provider Business Mailing Address
First Line : 42522 PELICAN DR
Second Line :
City : CHANTILLY
State : VA
Zip : 20152-6643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6700 COLUMBIA PIKE
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-3450
Country : US
Telephone Number : 630-244-0489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “ POOJA SONI ” Practice Location

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