Fayola O Etienne, DPT
Physical Therapist in Washington, District of Columbia
1134701766- Practice location
- 1145 19TH St NW Ste 403, Washington, DC 20036-3716
- Phone
- 202-721-7680
- Fax
- —
- Last updated
- April 23, 2021
Fayola O Etienne is a Physical Therapist based in Washington, DC. Fayola O Etienne practices in Washington, DC and has the professional credentials of DPT. The NPI Number for Fayola O Etienne is 1134701766 and holds a License No. 25408 (MA). The current practice location address for Fayola O Etienne is 1145 19TH St NW Ste 403, Washington, DC 20036-3716 and can be reached out via phone at 202-721-7680.
Provider Profile Details
- NPI Number
- 1134701766
- Provider Name
- Fayola O Etienne
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1145 19TH St NW Ste 403, Washington, DC 20036-3716
- Phone Number
- 202-721-7680
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2021
- Last Update Date
- April 23, 2021
- Certification Date
- April 23, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1145 19TH St NW Ste 403
Washington, DC 20036-3716 - City
- Washington
- State
- District of Columbia
- Zip
- 20036-3716
- Phone Number
- 202-721-7680
Provider Business Mailing Address Details
- Address
- 4 Hart Dr N
South Orange, NJ 07079-1534 - City
- South Orange
- State
- NJ
- Zip
- 07079-1534
- Phone Number
- 862-371-8510
License Information
- License Number
- 25408
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fayola O Etienne, DPT?
The NPI number of Fayola O Etienne, DPT is 1134701766. It was assigned on April 23, 2021 and is currently active in the NPPES registry.
What is the specialty of Fayola O Etienne, DPT?
Fayola O Etienne, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 25408.
Where does Fayola O Etienne, DPT practice?
The practice location is 1145 19TH St NW Ste 403, Washington, DC 20036-3716. The office can be reached at 202-721-7680 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134701766 directly on the NPPES registry website.