Provider Demographics
NPI:1740815281
Name:ABU-MAHFOUZ, DUA (PT, DPT)
Entity type:Individual
Prefix:
First Name:DUA
Middle Name:
Last Name:ABU-MAHFOUZ
Suffix:
Gender:F
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:P.O. BOX 75868
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275
Mailing Address - Country:US
Mailing Address - Phone:804-327-9242
Mailing Address - Fax:804-327-9812
Practice Address - Street 1:1850 TOWN CENTER PARKWAY
Practice Address - Street 2:SUITE 403
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3000
Practice Address - Country:US
Practice Address - Phone:703-810-5203
Practice Address - Fax:703-810-5408
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist