Provider Demographics
NPI:1215026802
Name:WU, XIU JUAN (DPT)
Entity Type:Individual
Prefix:
First Name:XIU JUAN
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:3801 INTERNATIONAL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1550
Mailing Address - Country:US
Mailing Address - Phone:301-598-9715
Mailing Address - Fax:301-598-9727
Practice Address - Street 1:3801 INTERNATIONAL DR STE 200
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-1550
Practice Address - Country:US
Practice Address - Phone:301-598-9715
Practice Address - Fax:301-598-9727
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist