Provider Demographics
NPI:1306173620
Name:MUNOZ, APRIL A (DPT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:A
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9860 FAIRFAX BLVD
Mailing Address - Street 2:#1
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-1702
Mailing Address - Country:US
Mailing Address - Phone:703-383-1616
Mailing Address - Fax:703-383-1166
Practice Address - Street 1:9860 FAIRFAX BLVD
Practice Address - Street 2:#1
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-1702
Practice Address - Country:US
Practice Address - Phone:703-383-1616
Practice Address - Fax:703-383-1166
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG00810Medicare PIN