Individual
RACHEL MELISSA FAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1936 OPITZ BLVD STE A, WOODBRIDGE, VA 22191-3360
(540) 841-4443
Mailing address
11657 CHARTER OAK CT APT 201, RESTON, VA 20190-4531
(585) 944-0228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605075
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194190421
—
VA
Enumeration date
12/11/2015
Last updated
02/11/2019
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