NPI 1245577196

Lida Thanarak Pitsch, ATCPTA

Practitioner Athletic Trainer Ashburn, VA

Practice location

Address: 42012 Donnington Pl, Ashburn, VA 20148-8011
Phone: (703) 593-7966

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126000614 (VA)

Other Specialist/Technologist providers in Virginia →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306601644 (VA)

Other Physical Therapy Assistant providers in Virginia →

Registry record

NPI: 1245577196
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2013
Record last updated: 30 Nov 2014

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.