Basic Information
| Provider Information | |||||||||
| NPI: | 1396270971 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PASZKO | ||||||||
| FirstName: | RACHAEL | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 504 BIRD FARM RD | ||||||||
| Address2: | APT 4 | ||||||||
| City: | COVINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 244266426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4403825423 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 FAIRVIEW AVE | ||||||||
| Address2: | |||||||||
| City: | CLIFTON FORGE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 244221873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408634096 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2017 | ||||||||
| LastUpdateDate: | 04/20/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2305210890 | VA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.