Provider Demographics
NPI:1528930138
Name:BICOL EXPRESS AND REHABILITATION AND WELLNESS SERVIC
Entity type:Organization
Organization Name:BICOL EXPRESS AND REHABILITATION AND WELLNESS SERVIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROPETA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:703-304-3985
Mailing Address - Street 1:4705 MILTFRED TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2238
Mailing Address - Country:US
Mailing Address - Phone:703-304-3985
Mailing Address - Fax:
Practice Address - Street 1:4705 MILTFRED TER
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2238
Practice Address - Country:US
Practice Address - Phone:703-304-3985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty