Provider Demographics
NPI:1689098071
Name:DOWNEY, JANICE F (MPT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:F
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:DOWNEY
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:3533 CORNELL RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-1813
Mailing Address - Country:US
Mailing Address - Phone:703-383-3436
Mailing Address - Fax:
Practice Address - Street 1:9642 BURKE LAKE RD
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3052
Practice Address - Country:US
Practice Address - Phone:703-543-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist