Provider Demographics
NPI:1114042900
Name:CHOPPA, CAROLINE SELEE (PT)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:SELEE
Last Name:CHOPPA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 WOODLEY PL
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-2715
Mailing Address - Country:US
Mailing Address - Phone:703-527-8446
Mailing Address - Fax:703-527-1752
Practice Address - Street 1:4141 N HENDERSON RD
Practice Address - Street 2:PLAZA 8
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-2486
Practice Address - Country:US
Practice Address - Phone:703-527-8446
Practice Address - Fax:703-527-1752
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005772225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA017219H84Medicare ID - Type UnspecifiedPHYSICAL THERAPY