Whalio Doctors

NPI 1366655839

Amanda B Trucksess, MD

Practitioner Physical Medicine & Rehabilitation Physician Reston, VA

Practice location

Address
1850 Town Center Pkwy Suite 400, Reston, VA 20190-3219
Phone
(703) 810-5202
Mailing address
11240 Waples Mill Rd 403, Fairfax, VA 22030-6078

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 0101243539 (VA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 0116016644 (VA)

Registry record

NPI
1366655839
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 May 2007
Record last updated
17 Sep 2020

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.