Provider Demographics
NPI:1578262465
Name:FALCAO, ANA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:FALCAO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3167 LAUDERDALE DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7801
Mailing Address - Country:US
Mailing Address - Phone:804-991-4600
Mailing Address - Fax:
Practice Address - Street 1:3167 LAUDERDALE DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-7801
Practice Address - Country:US
Practice Address - Phone:804-991-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist