Most Relevant Information
Provider Data
NPI Number: | 1003078833 |
Provider Name: | BHUMI ANISH DESAI |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 2305206055 |
Most Important Dates
Enumeration Date: | 07/02/2008 |
Last Updated: | 07/29/2020 |
Provider Practice Location
24801 PINEBROOK RD STE 200
CHANTILLY
VA
201524113
Practice Location Phone/Fax
Phone: | 7037222525 |
Fax: |
Provider Mailing Location
24917 PINEBROOK RD
CHANTILLY
VA
201524397
Provider Mailing Phone/Fax
Phone: | |
Fax: |