Provider Demographics
NPI:1316106826
Name:TOURPE, CELINE (PTA)
Entity type:Individual
Prefix:
First Name:CELINE
Middle Name:
Last Name:TOURPE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 LADUE CT
Mailing Address - Street 2:APPT 405
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5571
Mailing Address - Country:US
Mailing Address - Phone:703-823-4793
Mailing Address - Fax:
Practice Address - Street 1:1641 LADUE CT
Practice Address - Street 2:APPT 405
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5571
Practice Address - Country:US
Practice Address - Phone:703-823-4793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306601952310400000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility