Individual
SANDRA L STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7430 SPRING VILLAGE DR, SPRINGFIELD, VA 22150-4446
(703) 923-4600
(703) 923-4681
Mailing address
8043 OAK HOLLOW LN, FAIRFAX STATION, VA 22039-2628
(571) 334-5854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602359
VA
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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