Lida Thanarak Pitsch, ATC, PTA

NPI #1245577196 in Ashburn, Virginia

Provider Information

NPI Number
1245577196
Entity Type
Individual
Name
Lida Thanarak Pitsch, ATC, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, PTA
Enumeration Date
Jan 12, 2013
Last Updated
Nov 30, 2014

Practice Location

Address
42012 DONNINGTON PL
ZIP Code
20148-8011
Phone
(703) 593-7966

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant
Specialist/Technologist - Athletic TrainerAthletic Trainer

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