Individual
SHELBY NESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9642 BURKE LAKE RD, BURKE, VA 22015-3052
(703) 543-7920
Mailing address
12906 NEW PARKLAND DR, HERNDON, VA 20171-2645
(724) 344-7526
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2306603765
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306603765
STATE PHYSICAL THERAPY BOARD
VA
Enumeration date
04/15/2015
Last updated
04/15/2015
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