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NPI Code Detail

MEDICARE: ALIYAT YIMAM

MEDICARE:   ALIYAT  YIMAM
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
1225100000XPhysical Therapist2305205266VA

General Provider Information

NPI Number : 1821259565
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIYAT YIMAM
Provider Business Mailing Address
First Line : 7710 CUMBERTREE CT
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22153-2165
Country : US
Telephone Number : 202-870-4996
Fax Number :
Provider Business Practice Location Address
First Line : 20 PIDGEON HILL DR
Second Line : STE 103
City : STERLING
State : VA
Zip : 20165-6134
Country : US
Telephone Number : 202-870-4996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 04/24/2025

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Directions to “ ALIYAT YIMAM ” Practice Location

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