Healthcare Provider Details

I. General information

NPI: 1659540268
Provider Name (Legal Business Name): VASILE CIOCOIU P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 19TH ST NW #605
WASHINGTON DC
20036-3701
US

IV. Provider business mailing address

6350 HILLCREST PL
ALEXANDRIA VA
22312-1234
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-1003
  • Fax:
Mailing address:
  • Phone: 703-732-7974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 870857
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: