Bobbie Susan Mae Carl
Physical Therapy Assistant
8705 Stonewall Rd
Manassas
, Virginia 20110-4534
Bobbie Susan Mae Carl
Physical Therapy Assistant
8705 Stonewall Rd
Manassas
, Virginia 20110-4534
(703) 368-0719
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Bobbie Susan Mae Carl
- 8705 Stonewall Rd
- Manassas, VA
- Zip : 20110-4534
- Fax : (703) 368-0719
- Phone : (703) 368-7343
Second Address
- Bobbie Susan Mae Carl
- 8705 Stonewall Rd
- Manassas, VA
- Zip : 20110-4534
- Fax : (703) 368-0719
- Phone : (703) 368-7343
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2306000353 | VA |
National Provider Identifier
| NPI | 1013277169 |
|---|---|
| Provider Name | Bobbie Susan Mae Carl |
| First Address | Manassas, VA 20110-4534 |
| Second Address | Manassas, VA 20110-4534 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2012 |
| Last Update Date | 23/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.