Provider Demographics
NPI:1033894852
Name:RAFIQ, ZAIBY
Entity Type:Individual
Prefix:
First Name:ZAIBY
Middle Name:
Last Name:RAFIQ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21641 TRASK PL # 21
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6786
Mailing Address - Country:US
Mailing Address - Phone:780-246-1974
Mailing Address - Fax:
Practice Address - Street 1:21641 TRASK PL # 21
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6786
Practice Address - Country:US
Practice Address - Phone:780-246-1974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist