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General NPI Number Information
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NPI Number | 1659703692
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Entity Type | Individual
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Provider Name | MELIZA MAY BARILLO DPT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 6201 CENTREVILLE RD SUITE 600
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City | CENTREVILLE
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State | VA
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Zip | 20121-2626
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Country | US
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Telephone | 703-378-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 TOWN CENTER DR SUITE 300
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City | RESTON
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State | VA
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Zip | 20190-5896
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Country | US
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Telephone | 703-435-6604
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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 | 2305208072
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License Number State | VA
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