Provider Demographics
NPI:1164954087
Name:MOLNAR, BEATRIX
Entity Type:Individual
Prefix:
First Name:BEATRIX
Middle Name:
Last Name:MOLNAR
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 1:4551 STRUTFIELD LN APT 4215
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-4985
Mailing Address - Country:US
Mailing Address - Phone:571-228-7375
Mailing Address - Fax:
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 318
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3624
Practice Address - Country:US
Practice Address - Phone:202-363-0454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC872079225100000X
MD26359225100000X
NY036512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist