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NPI Code Detail

MEDICARE: CHARUTA MOHARIR PT

MEDICARE: CHARUTA MOHARIR PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305006353VA

General Provider Information

NPI Number : 1194724252
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARUTA MOHARIR PT
Provider Business Mailing Address
First Line : 9900 MAIN ST
Second Line : SUITE 200A
City : FAIRFAX
State : VA
Zip : 22031-3907
Country : US
Telephone Number : 703-279-4394
Fax Number : 703-279-4214
Provider Business Practice Location Address
First Line : 3600 JOSEPH SIEWICK DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-1709
Country : US
Telephone Number : 703-391-3642
Fax Number : 703-391-3455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/10/2007

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Directions to “ CHARUTA MOHARIR PT” Practice Location

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