=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932247780
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCIE LEIGH MITCHELL PT,MS,PCS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13535 BRIGHTFIELD LN
-----------------------------------------------------
City | HERNDON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20171-3362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-689-4451
-----------------------------------------------------
Fax | 703-689-9649
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13535 BRIGHTFIELD LN
-----------------------------------------------------
City | HERNDON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20171-3362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-689-4451
-----------------------------------------------------
Fax | 703-689-9649
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 2305001099
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------