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Individual

MARC A MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6805 INDUSTRIAL RD STE 3100, SPRINGFIELD, VA 22151-4206
(703) 256-2171
Mailing address
7236 EVANSTON RD, SPRINGFIELD, VA 22150-3625
(703) 229-7541

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216266
VA

Other

Enumeration date
12/01/2022
Last updated
10/08/2024
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