MEDICARE: MARGAUX W CRAIG 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
1	225100000X	Physical Therapist	PT870379	DC

General Provider Information

NPI Number	:	1396788790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGAUX W CRAIG MSPT

Provider Business Mailing Address
First Line	:	5901 KINGSTOWNE VILLAGE PKWY
Second Line	:	SUITE 301
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-5880
Country	:	US
Telephone Number	:	703-924-2650
Fax Number	:	703-924-2653

Provider Business Practice Location Address
First Line	:	5901 KINGSTOWNE VILLAGE PKWY
Second Line	:	SUITE 301
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-5880
Country	:	US
Telephone Number	:	703-924-2650
Fax Number	:	703-924-2653

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	10/22/2013

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