Threlfall, Renee
Threlfall, Renee is an individual health care provider with primary practice located at 12825 Minnieville Rd Suite 203, Woodbridge VA 22192-3601. 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. Threlfall, Renee can be contacted via phone (703) 971-3701.Contact Information
Primary practice address
12825 Minnieville Rd Suite 203
Woodbridge VA 22192-3601
Phone: (703) 971-3701
Fax: (703) 647-3126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2831 | New Hampshire |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305206415 | Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 010474 | Georgia |
Profile Details
| NPI number | 1821062209 |
|---|---|
| LBN Legal business name | Threlfall, Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Feb 18th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821062209 | NPPES |
| Georgia | MEDICAID | 003120150A | |
| Georgia | Other | 08Y004741NH01 | |
| Georgia | MEDICAID | 30392274 | |
| Georgia | Other | 00800698 |
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