Provider Demographics
NPI:1487862546
Name:FRANCIS, ANNEMARIE C (ATC)
Entity Type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:C
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4355 IVYMOUNT CT
Mailing Address - Street 2:#1
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-4743
Mailing Address - Country:US
Mailing Address - Phone:703-992-9092
Mailing Address - Fax:
Practice Address - Street 1:4355 IVYMOUNT CT
Practice Address - Street 2:#1
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-4743
Practice Address - Country:US
Practice Address - Phone:703-992-9092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260000752255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer