Elissa H Federovich
Physical Therapist - Neurology
5249 Duke St Ste 203
Alexandria
, Virginia 22304-2926
Elissa H Federovich
Physical Therapist - Neurology
5249 Duke St Ste 203
Alexandria
, Virginia 22304-2926
(703) 642-9176
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Elissa H Federovich
- 3918 Terrace Dr
- Annandale, VA
- Zip : 22003-1853
- Phone : (703) 642-9176
Second Address
- Elissa H Federovich
- 5249 Duke St Ste 203
- Alexandria, VA
- Zip : 22304-2926
- Fax : (703) 370-7209
- Phone : (703) 751-1733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 2305202026 | VA |
National Provider Identifier
| NPI | 1417126020 |
|---|---|
| Provider Name | Elissa H Federovich |
| First Address | Annandale, VA 22003-1853 |
| Second Address | Alexandria, VA 22304-2926 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2008 |
| Last Update Date | 22/05/2008 |
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.