Provider Demographics
NPI:1467276402
Name:SAENZ, ROBERTO ATILANO (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:ATILANO
Last Name:SAENZ
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8627 VICTORIA RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-1228
Mailing Address - Country:US
Mailing Address - Phone:480-294-9280
Mailing Address - Fax:
Practice Address - Street 1:8627 VICTORIA RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-1228
Practice Address - Country:US
Practice Address - Phone:480-294-9280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist