Provider Demographics
NPI:1376615716
Name:ZARNEGAR, MICHELLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:ZARNEGAR
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 1:13350 FRANKLIN FARM RD 300
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4095
Mailing Address - Country:US
Mailing Address - Phone:703-810-5205
Mailing Address - Fax:
Practice Address - Street 1:13350 FRANKLIN FARM RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-4091
Practice Address - Country:US
Practice Address - Phone:703-810-5205
Practice Address - Fax:703-471-0280
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist