Provider Demographics
NPI:1952490898
Name:KASIOR-SZERSZEN, IWONA LAURA (PT, DPT, PHD)
Entity Type:Individual
Prefix:DR
First Name:IWONA
Middle Name:LAURA
Last Name:KASIOR-SZERSZEN
Suffix:
Gender:F
Credentials:PT, DPT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 S POLLARD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-5050
Mailing Address - Country:US
Mailing Address - Phone:571-215-2326
Mailing Address - Fax:703-521-2485
Practice Address - Street 1:1708 S POLLARD ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-5050
Practice Address - Country:US
Practice Address - Phone:571-215-2326
Practice Address - Fax:703-521-2485
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305003302225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist