Individual
BHUMI ANISH DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24801 PINEBROOK RD STE 200, CHANTILLY, VA 20152-4113
(703) 722-2525
Mailing address
24917 PINEBROOK RD, CHANTILLY, VA 20152-4397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206055
VA
Other
Enumeration date
07/02/2008
Last updated
07/29/2020
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