Lilian Davalos, PTA

Individual provider Active NPI Physical Therapy Assistant · Parksley, VA

NPI 1972792513 · NPPES record last updated Oct 19, 2007

Key facts

NPI
1972792513
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
26181 Parksley Rd
Parksley, VA 23421-3723
Phone
(256) 714-8440
NPI assigned
Oct 19, 2007
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

Specialties & licenses

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

Addresses

Primary practice location

26181 Parksley Rd
Parksley, VA 23421-3723

Mailing address

8808 Surrey CT
Alexandria, VA 22309-2243
Phone (703) 307-9553

Other providers in Parksley, VA

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

Sources for this page

Verify at the official NPI Registry.