Provider Demographics
NPI:1407928286
Name:FRAGOMENI, ANNA MARIA (PT)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIA
Last Name:FRAGOMENI
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:PM&R GROUND FLOOR BLES ROOM CG-12
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-5592
Mailing Address - Fax:202-444-5333
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:PM&R GROUND FLOOR BLES ROOM CG-12
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-5592
Practice Address - Fax:202-444-5333
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPT28272251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics