Individual
FEDERICO A UMAYAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
267 GARRISONVILLE RD, SUITE 101, STAFFORD, VA 22554-1596
(540) 288-9761
(540) 288-9764
Mailing address
5252 LYNGATE CT, SUITE 203, BURKE, VA 22015-1672
(703) 239-2300
(703) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207417
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K949 - 0035
CAREFIRST
VA
Enumeration date
08/01/2012
Last updated
09/08/2015
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