MEDICARE: DR. MICHELLE ZARNEGAR D.P.T.

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
1	225100000X	Physical Therapist	2305202871	VA

General Provider Information

NPI Number	:	1376615716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE ZARNEGAR D.P.T.

Provider Business Mailing Address
First Line	:	13350 FRANKLIN FARM RD 300
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20171-4095
Country	:	US
Telephone Number	:	703-810-5205
Fax Number	:

Provider Business Practice Location Address
First Line	:	13350 FRANKLIN FARM RD
Second Line	:	SUITE 300
City	:	HERNDON
State	:	VA
Zip	:	20171-4091
Country	:	US
Telephone Number	:	703-810-5205
Fax Number	:	703-471-0280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	09/11/2015

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