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General NPI Number Information
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NPI Number | 1346715406
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Entity Type | Individual
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Provider Name | KALAIMATHI SENTHIL KUMAR DPT
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Gender | Female
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 2978 CENTREVILLE RD
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City | HERNDON
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State | VA
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Zip | 20171-6253
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Country | US
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Telephone | 703-825-0209
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Fax |
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Provider Business Mailing Address
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Address Line | 14259 HART FOREST DR
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City | CENTREVILLE
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State | VA
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Zip | 20121-5018
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Country | US
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Telephone | 703-825-0209
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305207284
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License Number State | VA
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