Provider Demographics
NPI:1942524954
Name:GABRIELLE CZAJA, PT INC.
Entity Type:Organization
Organization Name:GABRIELLE CZAJA, PT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CZAJA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:202-223-4943
Mailing Address - Street 1:4601 CONNECTICUT AVE NW STE 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5700
Mailing Address - Country:US
Mailing Address - Phone:202-223-4943
Mailing Address - Fax:202-223-4947
Practice Address - Street 1:4601 CONNECTICUT AVE NW STE 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5700
Practice Address - Country:US
Practice Address - Phone:202-223-4943
Practice Address - Fax:202-223-4947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT2277261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1215269303OtherNPI INDIVIDUAL