NPI 1003189002

Paul Frizelle, DPT

Practitioner Physical Therapist Centreville, VA

Practice location

Address: 13890 Braddock Rd Suite 102, Centreville, VA 20121-2435
Phone: (703) 830-6360
Fax: (703) 830-6362
Mailing address: 3903 Northdale Blvd STE 111w, Tampa, FL 33624-1853

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2305207282 (VA)

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Registry record

NPI: 1003189002
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2012
Record last updated: 26 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.