Most Relevant Information
Provider Data
| NPI Number: | 1003340316 |
| Provider Name: | ANJANA VISWANATHAN MSPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT 24425 |
Most Important Dates
| Enumeration Date: | 04/13/2017 |
| Last Updated: | 04/13/2017 |
Provider Practice Location
192 HALPINE RD STE D
ROCKVILLE
MD
208527645
Practice Location Phone/Fax
| Phone: | 2405142400 |
| Fax: | 3018166968 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | 6302962222 |
| Fax: | 6307599510 |