Provider Demographics
NPI:1396896205
Name:INGOLD, ERIC AARON (DPT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:AARON
Last Name:INGOLD
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Gender:M
Credentials:DPT
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Mailing Address - Street 1:16545 GOLDENCREST CIR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-9654
Mailing Address - Country:US
Mailing Address - Phone:571-858-9398
Mailing Address - Fax:571-858-9398
Practice Address - Street 1:209 ELDEN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4852
Practice Address - Country:US
Practice Address - Phone:703-481-3551
Practice Address - Fax:703-481-3276
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2016-05-02
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Provider Licenses
StateLicense IDTaxonomies
VA2305202442225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist