Provider Demographics
NPI:1215269303
Name:CZAJA, GABRIELLE (PT)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:CZAJA
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 1:4601 CONNECTICUT AVE NW STE 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5700
Mailing Address - Country:US
Mailing Address - Phone:202-223-4943
Mailing Address - Fax:202-223-4947
Practice Address - Street 1:4601 CONNECTICUT AVE NW STE 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5700
Practice Address - Country:US
Practice Address - Phone:202-223-4943
Practice Address - Fax:202-223-4947
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT2277225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist