Provider Demographics
NPI:1710485784
Name:TULSIAN, RASHMI (PT, DPT, MHS)
Entity Type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:TULSIAN
Suffix:
Gender:F
Credentials:PT, DPT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17911 KINGS PARK LN APT 1622
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3144
Mailing Address - Country:US
Mailing Address - Phone:248-513-7897
Mailing Address - Fax:
Practice Address - Street 1:3801 FAIRFAX DR STE 11
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1762
Practice Address - Country:US
Practice Address - Phone:703-522-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305211695225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist