Individual
SELENA RENEE BAREFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14605 POTOMAC BRANCH DR, WOODBRIDGE, VA 22191-3336
(703) 490-1112
Mailing address
42 BARCLAY LN, STAFFORD, VA 22554-7724
(703) 479-4985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601791
VA
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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