Individual provider · Type 1 NPI

Tracy Alma Bettencourt, DPT

Pediatric Physical Therapist · Woodbridge, VA

NPI number 1972240091 Active

Practice location

2235 Tacketts Mill Dr Unit C
Woodbridge, VA 22192-3036

Mailing address

2101 Mill Rd Apt 110
Alexandria, VA 22314-5318

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2305214986 (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 1972240091

Tracy Alma Bettencourt, DPT's National Provider Identifier is 1972240091, issued on May 19, 2022. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Woodbridge, VA. The record was last updated on May 19, 2022.