Provider Demographics
NPI:1134440423
Name:ROTHERMEL, ELIZABETH WHITE (MSPT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WHITE
Last Name:ROTHERMEL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:WHITE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4040 FAIRFAX DR STE 120
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1613
Mailing Address - Country:US
Mailing Address - Phone:703-292-4060
Mailing Address - Fax:703-292-4066
Practice Address - Street 1:4040 FAIRFAX DR STE 120
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1613
Practice Address - Country:US
Practice Address - Phone:703-292-4060
Practice Address - Fax:703-292-4066
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist