Provider Demographics
NPI:1588624118
Name:WURMAN, DEVIN L (DPT)
Entity type:Individual
Prefix:MRS
First Name:DEVIN
Middle Name:L
Last Name:WURMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:DEVIN
Other - Middle Name:LINDSAY
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:21251 RIDGETOP CIRCLE
Mailing Address - Street 2:SUITE #140
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166
Mailing Address - Country:US
Mailing Address - Phone:703-450-4300
Mailing Address - Fax:703-450-5113
Practice Address - Street 1:21251 RIDGETOP CIRCLE
Practice Address - Street 2:SUITE #140
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166
Practice Address - Country:US
Practice Address - Phone:703-450-4300
Practice Address - Fax:703-450-5113
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT225100000X
PA2305206452225100000X
VA2305206452225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2316204000OtherBC BS PC KS
PA2316204000OtherBC BS PC KS