Provider Demographics
NPI:1427669811
Name:SUFCZYNSKI, RACHEL TOVA (MS, CEP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:TOVA
Last Name:SUFCZYNSKI
Suffix:
Gender:F
Credentials:MS, CEP
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2800 S SHIRLINGTON RD STE 505
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3618
Mailing Address - Country:US
Mailing Address - Phone:703-807-0037
Mailing Address - Fax:
Practice Address - Street 1:24710 CUTSAIL DR
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2103
Practice Address - Country:US
Practice Address - Phone:443-992-3259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist