Provider Demographics
NPI:1548451990
Name:FALLS CHURCH PILATES LLC
Entity type:Organization
Organization Name:FALLS CHURCH PILATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:SISON-WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-532-3773
Mailing Address - Street 1:513 W BROAD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3257
Mailing Address - Country:US
Mailing Address - Phone:703-532-3773
Mailing Address - Fax:703-763-2333
Practice Address - Street 1:513 W BROAD ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3257
Practice Address - Country:US
Practice Address - Phone:703-532-3773
Practice Address - Fax:703-763-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305004830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty