Provider Demographics
NPI:1023815248
Name:NEHA, UNKNOWN (DPT)
Entity type:Individual
Prefix:
First Name:UNKNOWN
Middle Name:
Last Name:NEHA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 650501
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-0501
Mailing Address - Country:US
Mailing Address - Phone:703-433-2500
Mailing Address - Fax:703-433-2558
Practice Address - Street 1:21475 RIDGETOP CIR STE 260
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-8580
Practice Address - Country:US
Practice Address - Phone:703-433-2500
Practice Address - Fax:703-433-2558
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA23052169152251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic