Individual provider · Type 1 NPI
Michele Wiley, PT DPT PCS
Pediatric Physical Therapist · Leesburg, VA
Practice location
19500 Sandridge Way, Suite 390 Riverside Office Park
Leesburg, VA 20176-3688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2305203225 (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…
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About NPI 1245633668
Michele Wiley, PT DPT PCS's National Provider Identifier is 1245633668, issued on Sep 30, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Leesburg, VA. The record was last updated on Sep 30, 2014.