Provider Demographics
NPI:1063869618
Name:HOSBETKAR, ARYANKA (PT)
Entity type:Individual
Prefix:
First Name:ARYANKA
Middle Name:
Last Name:HOSBETKAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5252 LYNGATE CT
Mailing Address - Street 2:STE 203
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1672
Mailing Address - Country:US
Mailing Address - Phone:703-239-2310
Mailing Address - Fax:703-239-2311
Practice Address - Street 1:14405 LAUREL PL STE 102
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-6102
Practice Address - Country:US
Practice Address - Phone:301-498-8322
Practice Address - Fax:301-498-8326
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25765225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist