Provider Demographics
NPI:1811919947
Name:MCNEELY, DEANA LETTS (MSPT)
Entity type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:LETTS
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:MSPT
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Mailing Address - Street 1:11240 WAPLES MILL RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6078
Mailing Address - Country:US
Mailing Address - Phone:703-246-8090
Mailing Address - Fax:703-691-4933
Practice Address - Street 1:8501 ARLINGTON BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4617
Practice Address - Country:US
Practice Address - Phone:703-573-3843
Practice Address - Fax:703-573-4247
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2020-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305203236225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA014137C95Medicare ID - Type Unspecified