Provider Demographics
NPI:1033207295
Name:ASHER, LATOYA SIMON (DPT)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:SIMON
Last Name:ASHER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8316 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-5207
Mailing Address - Country:US
Mailing Address - Phone:703-530-3190
Mailing Address - Fax:703-560-3194
Practice Address - Street 1:2616 SHERWOOD HALL LN
Practice Address - Street 2:SUITE 104
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3100
Practice Address - Country:US
Practice Address - Phone:703-704-5771
Practice Address - Fax:703-704-5774
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD21269225100000X
VA2305207517225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist