Individual
SUSAN HOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8033 HOLLAND RD, ALEXANDRIA, VA 22306-3133
(703) 780-9800
Mailing address
8623 ORDINARY WAY, ANNANDALE, VA 22003-4432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601959
VA
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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