Individual
GAYATHRI JAGADEESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 WORDSWORTH CT APT 202, HERNDON, VA 20170-5861
(571) 266-6677
Mailing address
2120 WORDSWORTH CT APT 202, HERNDON, VA 20170-5861
(571) 266-6677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205514
VA
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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