Provider Demographics
NPI:1902312671
Name:EYI-MENSAH, CATHY ANGELA (DPT)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ANGELA
Last Name:EYI-MENSAH
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 1:5705 WOODLAWN GREEN CIR APT L
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-4611
Mailing Address - Country:US
Mailing Address - Phone:703-593-9808
Mailing Address - Fax:
Practice Address - Street 1:900 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-3200
Practice Address - Country:US
Practice Address - Phone:703-684-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305211413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist