Provider Demographics
NPI:1649440330
Name:HOOD, DEBRA (PT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:HOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 SUDLEY RD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4740
Mailing Address - Country:US
Mailing Address - Phone:703-335-9149
Mailing Address - Fax:703-335-9004
Practice Address - Street 1:8805 SUDLEY RD
Practice Address - Street 2:SUITE 200A
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4740
Practice Address - Country:US
Practice Address - Phone:703-335-9149
Practice Address - Fax:703-335-9004
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305004018225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
009214Medicare PIN