Provider Demographics
NPI:1427448489
Name:HINRICHS, ANN (MSPT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:HINRICHS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 CEDARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-4301
Mailing Address - Country:US
Mailing Address - Phone:703-401-0341
Mailing Address - Fax:
Practice Address - Street 1:2802 MERRILEE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4410
Practice Address - Country:US
Practice Address - Phone:703-849-8808
Practice Address - Fax:703-942-6062
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305004809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist