Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2305210001 | VA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT871930 | DC |
NPI | 1023471141 |
---|---|
Provider Name | Dr. Natalie Rakestraw |
First Address | Fairfax, VA 22031-4625 |
Second Address | Fairfax, VA 22031-4625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 28/04/2021 |