Individual
CAROL LYNNE GOVONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6862 PIEDMONT CENTER PLZ, GAINESVILLE, VA 20155-4034
(703) 754-4690
Mailing address
10405 MANLEY RD, NOKESVILLE, VA 20181-1515
(703) 862-9526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203871
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196835
ANTHEM
VA
01
—
2130100
MAMSI
—
01
—
7841510
AETNA
VA
Enumeration date
06/07/2007
Last updated
01/17/2025
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