Amyx, Eliska

Amyx, Eliska is an sole proprietor health care provider with primary practice located at 11645 Captain Rhett Ln , Fairfax Station VA 22039-1235. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Amyx, Eliska can be contacted via phone (703) 401-1191.

Contact Information

Primary practice address
11645 Captain Rhett Ln Fairfax Station VA 22039-1235
Phone: (703) 401-1191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306603116 Virginia

Profile Details

NPI number 1760759955
LBN Legal business name Amyx, Eliska
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2011
Last updated Dec 6th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760759955 NPPES
Virginia Other 225200000X EMPLOYER

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