Individual
MRS. PATRICIA ANNE QUERUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 707-0706
(703) 707-9288
Mailing address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 707-0706
(703) 707-9288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0106601119
VA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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