Provider Demographics
NPI:1649791138
Name:ENRIQUEZ, APRIL (CMT)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:
Last Name:ENRIQUEZ
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6354 ROLLING MILL PL STE 101
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2368
Mailing Address - Country:US
Mailing Address - Phone:703-347-1314
Mailing Address - Fax:
Practice Address - Street 1:6354 ROLLING MILL PL STE 101
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2368
Practice Address - Country:US
Practice Address - Phone:703-347-1314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019008021225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist