Healthcare Provider Details

I. General information

NPI: 1922929710
Provider Name (Legal Business Name): ANA MARIA VALERIANO CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4933 AMERICANA DR APT 206
ANNANDALE VA
22003-5027
US

IV. Provider business mailing address

4933 AMERICANA DR APT 206
ANNANDALE VA
22003-5027
US

V. Phone/Fax

Practice location:
  • Phone: 703-342-7148
  • Fax:
Mailing address:
  • Phone: 703-342-7148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberCP044245A
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2306606405
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: