Individual provider · Type 1 NPI
Kelly Loraine Dauer Pham, MD
Pediatric Rehabilitation Medicine Physician · Vienna, VA
Practice location
8230 Boone Blvd Ste 170
Vienna, VA 22182-2621
Fax (571) 413-0290
Other practice locations
- 4800 Sand Point Way NE, Department Of Pediatric Rehabilitation Medicine, Seattle, WA 98105-3901 · (206) 987-1766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101273373 (VA) |
| Physical Medicine & Rehabilitation Physician | 208100000X | 185401 (DC) |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | FE60464961 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Rehabilitation Medicine Physician Primary | 2081P0010X | 0101273373 (VA) |
Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…
Another provider at this address
About NPI 1417274689
Kelly Loraine Dauer Pham, MD's National Provider Identifier is 1417274689, issued on Apr 28, 2010. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Vienna, VA. The record was last updated on Apr 13, 2022.