Individual
MRS. CAROLYN MARIE LIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
8301 ARLINGTON BLVD, SUITE 102, FAIRFAX, VA 22031-2902
(703) 207-8315
(703) 573-2143
Mailing address
8301 ARLINGTON BLVD, SUITE 102, FAIRFAX, VA 22031-2902
(703) 207-8315
(703) 573-2143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204125
VA
Other
Enumeration date
07/24/2006
Last updated
06/18/2008
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