Provider Demographics
NPI:1063875631
Name:RASOOL, ZAINAB M (DPT)
Entity type:Individual
Prefix:
First Name:ZAINAB
Middle Name:M
Last Name:RASOOL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ZAINAB
Other - Middle Name:F
Other - Last Name:MITHAIWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14535 JOHN MARSHALL HWY
Mailing Address - Street 2:STE 203
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4025
Mailing Address - Country:US
Mailing Address - Phone:703-753-0261
Mailing Address - Fax:703-743-2967
Practice Address - Street 1:24801 PINEBROOK RD STE 120
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-4113
Practice Address - Country:US
Practice Address - Phone:703-722-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209835225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist