Individual
BABY FE INIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 MILITARY RD NW, WASHINGTON, DC 20015-1341
(201) 737-8012
Mailing address
650 JACKSON ST NE, WASHINGTON, DC 20017-1424
(201) 737-8012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
030508
NY
225100000X
Physical Therapist
Primary
PT5000012
DC
Other
Enumeration date
12/28/2011
Last updated
03/21/2022
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