Tisa L Newhouse PTA

NPI 1962617084 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1962617084
Gender Female
Enumeration Date 05/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12191 CLIPPER DR
WOODBRIDGE VA, 22192-2237, US
Phone (703) 496-3486
Fax
Business Location
14123 WELLMAN CT
MANASSAS VA, 20112-7003, US
Phone (703) 794-8220
Fax
Toxanomy
Taxonomy Code 225200000X
License State Virginia
License Number 2306001507
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According to our database, Tisa L Newhouse PTA NPI is 1962617084, taxonomy code is 225200000X and license number is 2306001507, license state is located at Virginia. Tisa L Newhouse PTA physically located at 12191 Clipper Dr, Woodbridge VA, 22192-2237. NPI Number Tisa L Newhouse PTA has the Individual type.

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1962617084 NPI number is provided on an as is basis without warranty of any kind. 1962617084 is maintained by the National Plan & Provider Enumeration System. The contents of Tisa L Newhouse PTA are for informational purposes only.