Provider Demographics
NPI:1861542706
Name:AGUILAR, RAUL B (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:B
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7960 DONEGAN DR
Mailing Address - Street 2:SUITE 233
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-8236
Mailing Address - Country:US
Mailing Address - Phone:703-366-3199
Mailing Address - Fax:703-366-3644
Practice Address - Street 1:7960 DONEGAN DR
Practice Address - Street 2:SUITE 233
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-8236
Practice Address - Country:US
Practice Address - Phone:703-366-3199
Practice Address - Fax:703-366-3644
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist