Individual
MR. JEFFREY STEPHEN EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3750 OLD LEE HWY, FAIRFAX, VA 22030-1806
(703) 246-7150
(703) 246-5317
Mailing address
14256 STONE CHASE WAY, CENTREVILLE, VA 20121-5020
(703) 968-5880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001569
VA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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