Provider Demographics
NPI:1316676315
Name:METZ, REBECCA ANNE (DPM)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANNE
Last Name:METZ
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:ANNE
Other - Last Name:MORAVSIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 3034
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20177-7999
Mailing Address - Country:US
Mailing Address - Phone:703-727-6468
Mailing Address - Fax:
Practice Address - Street 1:5105 BACKLICK RD, SUITE S
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-941-7770
Practice Address - Fax:703-941-7771
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300913213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine