Yvonne Asante Kuffour

Individual provider Active NPI Physical Therapy Assistant · Lorton, VA

NPI 1669977294 · NPPES record last updated Mar 26, 2018

Key facts

NPI
1669977294
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2306603578 (VA)
Practice address
8350 Mountain Larkspur Dr
Lorton, VA 22079-5728
Phone
(571) 348-4970
NPI assigned
Mar 26, 2018
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)
No

State licenses

LicenseStateTypeSpecialty
2306603578VAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306603578 VA Yes

Addresses

Primary practice location

8350 Mountain Larkspur Dr
Lorton, VA 22079-5728

Mailing address

5262 Quebec PL
Woodbridge, VA 22193-4569
Phone (301) 905-7465

Other providers in Lorton, VA

All providers in Lorton, VA · Physical Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.