Individual
MS. CAROLYN HAUGH BYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8400 RADFORD AVE STE 100, ALEXANDRIA, VA 22309
(571) 481-4547
(571) 551-6419
Mailing address
8400 RADFORD AVE STE 100, ALEXANDRIA, VA 22309-2585
(571) 481-4547
(571) 551-6419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005500
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305005500
VA LICENSE
VA
Enumeration date
09/22/2010
Last updated
06/25/2019
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