Provider Demographics
NPI:1639436611
Name:YOUSSEFI, PARVIZ (ED D)
Entity Type:Individual
Prefix:DR
First Name:PARVIZ
Middle Name:
Last Name:YOUSSEFI
Suffix:
Gender:M
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 NEW MARKET CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2483
Mailing Address - Country:US
Mailing Address - Phone:703-392-5055
Mailing Address - Fax:703-361-1906
Practice Address - Street 1:7171 NEW MARKET CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2483
Practice Address - Country:US
Practice Address - Phone:703-392-5055
Practice Address - Fax:703-361-1906
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist