Provider Demographics
NPI:1700259611
Name:NARVAEZ, ROMEO MALABANAN (PT)
Entity Type:Individual
Prefix:
First Name:ROMEO
Middle Name:MALABANAN
Last Name:NARVAEZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 PARK AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3305
Mailing Address - Country:US
Mailing Address - Phone:703-532-6210
Mailing Address - Fax:
Practice Address - Street 1:431 PARK AVE STE 300
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3305
Practice Address - Country:US
Practice Address - Phone:703-532-6210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205026225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist