Individual
JESSICA LAVINE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2301 COLUMBIA PIKE APT 125, ARLINGTON, VA 22204-4453
(571) 701-2191
Mailing address
2470 MANDEVILLE LN APT 1609, ALEXANDRIA, VA 22314-5028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
09/12/2025
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