Provider Demographics
NPI:1316327828
Name:ARANGO GALVEZ, JOHAN S (MPT)
Entity type:Individual
Prefix:
First Name:JOHAN
Middle Name:S
Last Name:ARANGO GALVEZ
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 OGLETHORPE ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1635
Mailing Address - Country:US
Mailing Address - Phone:202-677-3023
Mailing Address - Fax:
Practice Address - Street 1:3325 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2512
Practice Address - Country:US
Practice Address - Phone:202-677-3023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25513225100000X
DCPT871767225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist