Individual
MRS. NICOLE LEONIE FAINSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
150 ELDEN ST, SUITE 270, HERNDON, VA 20170-4861
(571) 340-1922
Mailing address
11011 BECONTREE LAKE DR, APT 210, RESTON, VA 20190-4140
(571) 340-1922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9722
CO
2251P0200X
Pediatric Physical Therapist
Primary
2305207613
VA
Other
Enumeration date
04/09/2008
Last updated
03/06/2013
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