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NPI Code Detail

MEDICARE: MRS. IRENE JOYCE HENRICH PT

MEDICARE: MRS. IRENE JOYCE HENRICH 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 Therapist2305005891VA

General Provider Information

NPI Number : 1427127125
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. IRENE JOYCE HENRICH PT
Provider Business Mailing Address
First Line : 5718 EVERGREEN KNOLL CT
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-1052
Country : US
Telephone Number : 804-306-1366
Fax Number :
Provider Business Practice Location Address
First Line : 3440 S JEFFERSON ST
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22041-3145
Country : US
Telephone Number : 703-578-7662
Fax Number : 703-578-7129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. IRENE JOYCE HENRICH PT” Practice Location

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