Provider Demographics
NPI:1629135314
Name:ROMVIEL, VINCENT J (PT)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:J
Last Name:ROMVIEL
Suffix:
Gender:M
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:PO BOX 18161
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-8161
Mailing Address - Country:US
Mailing Address - Phone:202-293-3364
Mailing Address - Fax:202-223-6534
Practice Address - Street 1:1147 20TH ST NW STE 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3569
Practice Address - Country:US
Practice Address - Phone:202-293-3364
Practice Address - Fax:202-223-6534
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2355225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist