Provider Demographics
NPI:1790919546
Name:ELASHKER, DALIA MOHAMED (PT)
Entity Type:Individual
Prefix:MRS
First Name:DALIA
Middle Name:MOHAMED
Last Name:ELASHKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 CASMAR ST SE
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-6610
Mailing Address - Country:US
Mailing Address - Phone:571-282-4805
Mailing Address - Fax:571-282-4805
Practice Address - Street 1:45305 CATALINA CT
Practice Address - Street 2:103
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-2337
Practice Address - Country:US
Practice Address - Phone:703-435-7656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205493172M00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No172M00000XOther Service ProvidersMechanotherapist