NPI 1013277169

Bobbie Susan Mae Carl, PTA

Practitioner Physical Therapy Assistant Manassas, VA

Practice location

Address: 8705 Stonewall Rd, Manassas, VA 20110-4534
Phone: (703) 368-7343
Fax: (703) 368-0719

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306000353 (VA)

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Registry record

NPI: 1013277169
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2012
Record last updated: 23 May 2012

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.