Individual
MARY RYAN DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 W BROAD ST STE 100, FALLS CHURCH, VA 22046-3131
(571) 378-1272
Mailing address
803 W BROAD ST STE 100, FALLS CHURCH, VA 22046-3131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217284
VA
Other
Enumeration date
04/07/2025
Last updated
09/10/2025
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