Heather Mance Akgun, MPT, DPT

Individual provider Active NPI Physical Therapist · Stafford, VA

NPI 1336491802 · NPPES record last updated Oct 9, 2012

Key facts

NPI
1336491802
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305203138 (VA)
Practice address
2777 Jefferson Davis Hwy
Suite 109
Stafford, VA 22554-8323
Phone
(540) 318-8615
Fax
(540) 318-8619
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2305203138VAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305203138 VA Yes

Addresses

Primary practice location

2777 Jefferson Davis Hwy
Suite 109
Stafford, VA 22554-8323

Mailing address

2777 Jefferson Davis Hwy
Suite 109
Stafford, VA 22554-8323
Phone (540) 318-8615

Other providers in Stafford, VA

All providers in Stafford, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.