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NPI Code Detail

MEDICARE: SHERYL JOHN MPT

MEDICARE:   SHERYL  JOHN  MPT
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 Therapist2305202520VA

General Provider Information

NPI Number : 1912289539
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYL JOHN MPT
Provider Business Mailing Address
First Line : 2955 S GLEBE RD
Second Line : SUITE E
City : ARLINGTON
State : VA
Zip : 22206-2730
Country : US
Telephone Number : 703-535-8887
Fax Number : 703-535-7819
Provider Business Practice Location Address
First Line : 18702 RED MAPLE CT
Second Line :
City : TRIANGLE
State : VA
Zip : 22172-1511
Country : US
Telephone Number : 202-487-7156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2011
Last Update Date : 12/19/2019

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Directions to “ SHERYL JOHN MPT” Practice Location

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