Provider Demographics
NPI:1861697849
Name:SUBRAMANIAN, DEVI MEENA (PT)
Entity type:Individual
Prefix:MRS
First Name:DEVI MEENA
Middle Name:
Last Name:SUBRAMANIAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6756 ROCKLEDGE PL
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2551
Mailing Address - Country:US
Mailing Address - Phone:703-815-3439
Mailing Address - Fax:
Practice Address - Street 1:6200 OREGON AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1543
Practice Address - Country:US
Practice Address - Phone:202-541-0403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist