Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 2305208766 | VA |
NPI | 1275655979 |
---|---|
Provider Name | Monica Elizabeth Kramer |
First Address | Alexandria, VA 22307-1312 |
Second Address | Fort Belvoir, VA 22060-5285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 21/04/2015 |