Provider Demographics
NPI:1972549723
Name:CANTONE, VIKKI DAWN (MPT)
Entity type:Individual
Prefix:
First Name:VIKKI
Middle Name:DAWN
Last Name:CANTONE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 WILSON BLVD
Mailing Address - Street 2:SUITE 110- 220
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1859
Mailing Address - Country:US
Mailing Address - Phone:703-527-1700
Mailing Address - Fax:
Practice Address - Street 1:4201 WILSON BLVD
Practice Address - Street 2:SUITE 110- 220
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1859
Practice Address - Country:US
Practice Address - Phone:703-527-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050064132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic