Provider Demographics
NPI:1265410237
Name:REED, CARLA OSWALD (PT)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:OSWALD
Last Name:REED
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:CARLA
Other - Middle Name:ANN
Other - Last Name:OSWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:46218 ALLSBROOK PL
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7307
Mailing Address - Country:US
Mailing Address - Phone:703-598-3168
Mailing Address - Fax:
Practice Address - Street 1:46218 ALLSBROOK PL
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7307
Practice Address - Country:US
Practice Address - Phone:703-598-3168
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist