Individual provider · Type 1 NPI

Nicole Leonie Fainsan, MSPT

Pediatric Physical Therapist · Herndon, VA

NPI number 1033382148 Active

Practice location

150 Elden St, Suite 270
Herndon, VA 20170-4861

Call (571) 340-1922 Map

Mailing address

11011 Becontree Lake Dr, Apt 210
Reston, VA 20190-4140

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X9722 (CO)
Pediatric Physical Therapist Primary 2251P0200X2305207613 (VA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

22 other providers at this address

About NPI 1033382148

Nicole Leonie Fainsan, MSPT's National Provider Identifier is 1033382148, issued on Apr 9, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Herndon, VA. The record was last updated on Mar 6, 2013.