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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELENA IGOREVNA SUTPHIN, PTA

Active

ELENA IGOREVNA SUTPHIN, PTA is a Physical Medicine & Rehabilitation healthcare provider located in WOODBRIDGE, Virginia. NPI 1134727357 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · WOODBRIDGE, VA

Registration Details

NPI Number
1134727357
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2020 (5.8843082119227 yrs)
Last Updated
Oct 9, 2020
Licenses
2306605532 (VA)
2306605532 (VA)

Practice Information

Address
1936 OPITZ BLVD STE A
WOODBRIDGE, VA, 221913360
Browse VA providers · Browse ZIP 22191
Phone
5408414443
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in WOODBRIDGE, VA

Name Credential NPI
MOSTAFA AMIR ELSAYED 1790648038
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.