Individual
MARILYN LEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, COMT, CHT
Contact information
Practice address
13350 FRANKLIN FARM RD STE 300, HERNDON, VA 20171-4095
(703) 810-5205
Mailing address
11240 WAPLES MILL RD, STE 403, FAIRFAX, VA 22030-6078
(703) 383-6454
(703) 810-5494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006773
VA
Other
Enumeration date
10/03/2006
Last updated
10/28/2020
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