Threlfall, Renee

Threlfall, Renee is an individual health care provider with primary practice located at 12825 Minnieville Rd Suite 203, Woodbridge VA 22192-3601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Threlfall, Renee can be contacted via phone (703) 971-3701.

Contact Information

Primary practice address
12825 Minnieville Rd Suite 203 Woodbridge VA 22192-3601
Phone: (703) 971-3701
Fax: (703) 647-3126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2831 New Hampshire
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305206415 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 010474 Georgia

Profile Details

NPI number 1821062209
LBN Legal business name Threlfall, Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821062209 NPPES
Georgia MEDICAID 003120150A
Georgia Other 08Y004741NH01
Georgia MEDICAID 30392274
Georgia Other 00800698

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