Provider Demographics
NPI:1548311269
Name:WASHINGTON, SELENA ADNA (DPT)
Entity type:Individual
Prefix:MRS
First Name:SELENA
Middle Name:ADNA
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:SELENA
Other - Middle Name:ADNA
Other - Last Name:MCLAREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1400 FIFTH AVE, CORNER OF 116TH STREET
Mailing Address - Street 2:PHYSICAL THERAPY OF HARLEM, LLP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026
Mailing Address - Country:US
Mailing Address - Phone:212-996-3303
Mailing Address - Fax:212-996-9686
Practice Address - Street 1:1400 FIFTH AVE, CORNER OF 116TH STREET
Practice Address - Street 2:PHYSICAL THERAPY OF HARLEM, LLP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026
Practice Address - Country:US
Practice Address - Phone:212-996-3303
Practice Address - Fax:212-996-9686
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028691174400000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist