Heidi Pena-Moog, LPTA
Heidi Pena-Moog, LPTA is a Physical Therapy Assistant in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2019.
- Licensed in
- VA
- In the registry since
- 2019
Practice location Address checks out
9229 Arlington BlvdFairfax, VA 22031-2550
Phone: (703) 277-6611
Fax: (703) 383-0206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2306001382 (VA) |
|---|
Record details
| NPI number | 1083187447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPTA |
| Sole proprietor | No |
| NPI enumerated | January 9, 2019 |
| Last updated in NPPES | January 9, 2019 |
| Mailing address | 9229 Arlington Blvd, Fairfax, VA 22031-2550 |
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