Provider Demographics
NPI:1609101518
Name:CONOVER, NATHALIA A (DPT)
Entity Type:Individual
Prefix:
First Name:NATHALIA
Middle Name:A
Last Name:CONOVER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46622 DRYSDALE TER UNIT 303
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-4370
Mailing Address - Country:US
Mailing Address - Phone:703-403-0095
Mailing Address - Fax:
Practice Address - Street 1:1 INVENTA PL STE 150
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5171
Practice Address - Country:US
Practice Address - Phone:301-576-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT871093225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist