Provider Demographics
NPI:1598528622
Name:BEGUN, ROSALIE (PT)
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:
Last Name:BEGUN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8112 KANE CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1433
Mailing Address - Country:US
Mailing Address - Phone:202-486-8841
Mailing Address - Fax:
Practice Address - Street 1:2233 WISCONSIN AVE NW STE 217
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4140
Practice Address - Country:US
Practice Address - Phone:202-486-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT2028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist