Healthcare Provider Details
I. General information
NPI: 1013903566
Provider Name (Legal Business Name): KERRI KRAMER WEBB MSPT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/21/2005
Last Update Date: 12/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 W ANNANDALE RD
FALLS CHURCH VA
22046
US
IV. Provider business mailing address
510 W ANNANDALE RD
FALLS CHURCH VA
22046
US
V. Phone/Fax
- Phone: 703-237-3930
- Fax: 703-649-4233
- Phone: 703-237-3930
- Fax: 703-649-4233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2305204391 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: