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NPI Code Detail

MEDICARE: MRS. DEVI MEENA SUBRAMANIAN PT

MEDICARE: MRS. DEVI MEENA SUBRAMANIAN 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 TherapistPT870735DC

General Provider Information

NPI Number : 1861697849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEVI MEENA SUBRAMANIAN PT
Provider Business Mailing Address
First Line : 6756 ROCKLEDGE PL
Second Line :
City : CENTREVILLE
State : VA
Zip : 20121-2551
Country : US
Telephone Number : 703-815-3439
Fax Number :
Provider Business Practice Location Address
First Line : 6200 OREGON AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20015-1543
Country : US
Telephone Number : 202-541-0403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 07/08/2007

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