Provider Demographics
NPI:1396814273
Name:DROTER, ROBERT JEFFREY (PT, DPT, OCS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JEFFREY
Last Name:DROTER
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21785 FILIGREE COURT
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147
Mailing Address - Country:US
Mailing Address - Phone:703-723-8800
Mailing Address - Fax:703-723-4134
Practice Address - Street 1:21785 FILIGREE COURT
Practice Address - Street 2:SUITE 209
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147
Practice Address - Country:US
Practice Address - Phone:703-723-8800
Practice Address - Fax:703-723-4134
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist