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NPI Code Detail

MEDICARE: DAVID SAHLEY MSPT

MEDICARE:   DAVID  SAHLEY  MSPT
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
12251X0800XOrthopedic Physical Therapist2305202401VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1393210OTHERVIMAMSI
2K1070001OTHERVIBCBS CAREFIRST
37416695OTHERVIAETNA
4193989OTHERVIANTHEM BCBS

General Provider Information

NPI Number : 1295730752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SAHLEY MSPT
Provider Business Mailing Address
First Line : 4133 FAIRFAX CENTER CREEK DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-8522
Country : US
Telephone Number : 703-754-0394
Fax Number : 703-754-0254
Provider Business Practice Location Address
First Line : 7210 HERITAGE VILLAGE PLZ
Second Line : 101
City : GAINESVILLE
State : VA
Zip : 20155-3071
Country : US
Telephone Number : 703-754-0394
Fax Number : 703-754-0254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 04/28/2008

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Directions to “ DAVID SAHLEY MSPT” Practice Location

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