MEDICARE: RASHADA THOMPSON

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	2305209393	VA
2	225100000X	Physical Therapist	25545	MD

General Provider Information

NPI Number	:	1770951923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHADA THOMPSON

Provider Business Mailing Address
First Line	:	5510 CHEROKEE AVE STE 250
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-916-0202
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 CHEROKEE AVE STE 250
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-916-0202
Fax Number	:

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

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	10/20/2021

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Directions to “ RASHADA THOMPSON ” Practice Location

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