Healthcare Provider Details

I. General information

NPI: 1124779491
Provider Name (Legal Business Name): QUALITY TOUCH PHYSICAL THERAPY & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 ORONOCO ST
ALEXANDRIA VA
22314-2015
US

IV. Provider business mailing address

14605 ELM ST UNIT 1821
UPPER MARLBORO MD
20773-7567
US

V. Phone/Fax

Practice location:
  • Phone: 301-246-2353
  • Fax: 240-241-6412
Mailing address:
  • Phone: 301-246-2353
  • Fax: 240-241-6412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: DR. TIEYA M QUALLS
Title or Position: CEO/PHYSICAL THERAPIST
Credential: PT, DPT, PRPC
Phone: 301-246-2353