Provider Demographics
NPI:1033993324
Name:KING, BRIGID MORGAN (DPT)
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:MORGAN
Last Name:KING
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 1:9455 LORTON MARKET ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1965
Mailing Address - Country:US
Mailing Address - Phone:703-647-3120
Mailing Address - Fax:
Practice Address - Street 1:9455 LORTON MARKET ST STE 201
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-1965
Practice Address - Country:US
Practice Address - Phone:703-647-3120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist