Individual
JAIMIE NOWELL DUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8230 OLD COURTHOUSE RD STE 350, VIENNA, VA 22182-3840
(703) 749-0223
Mailing address
3601 5TH ST S APT 204, ARLINGTON, VA 22204-1600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604783
VA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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