Healthcare Provider Details

I. General information

NPI: 1235773771
Provider Name (Legal Business Name): ANNE WUHRER MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 BRADDOCK RD STE 100
SPRINGFIELD VA
22151-2110
US

IV. Provider business mailing address

PO BOX 316
OAKTON VA
22124-0316
US

V. Phone/Fax

Practice location:
  • Phone: 800-521-8065
  • Fax: 703-842-8416
Mailing address:
  • Phone: 800-521-8065
  • Fax: 703-842-8416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number2305203104
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: