Individual provider · Type 1 NPI

Andrew Dominic Emmanuel, SPT

Student in an Organized Health Care Education/Training Program · Arlington, VA

NPI number 1063223766 Active

Practice location

4040 Fairfax Dr Ste 200
Arlington, VA 22203-1613

Call (703) 284-5980 Map

Mailing address

2230 N Columbus St
Arlington, VA 22207-2523

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063223766

Andrew Dominic Emmanuel, SPT's National Provider Identifier is 1063223766, issued on Jan 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arlington, VA. The record was last updated on Jan 14, 2025.