Sison-Wright, Maria Lourdes

Sison-Wright, Maria Lourdes is an individual health care provider with primary practice located at 2108 Gallows Rd Suite A, Vienna VA 22182-3980. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Sison-Wright, Maria Lourdes can be contacted via phone (703) 930-1338.

Contact Information

Primary practice address
2108 Gallows Rd Suite A Vienna VA 22182-3980
Phone: (703) 930-1338
Fax: (703) 763-2333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004830 Virginia

Profile Details

NPI number 1700902715
LBN Legal business name Sison-Wright, Maria Lourdes
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Oct 24th, 2012 - about 13 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 1700902715 NPPES
Virginia Other 76820001 BLUECROSS BLUE SHIELD

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