Provider Demographics
NPI:1174948590
Name:HARTZEL, ERIKA (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:HARTZEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 KNICKERBOCKER DR
Mailing Address - Street 2:APT 101
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-6219
Mailing Address - Country:US
Mailing Address - Phone:703-257-1069
Mailing Address - Fax:
Practice Address - Street 1:5109 KNICKERBOCKER DR
Practice Address - Street 2:APT 101
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-6219
Practice Address - Country:US
Practice Address - Phone:703-257-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208514225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist