Individual
MR. CHAIVUT VORACHACREYANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1785 S HAYES ST, ARLINGTON, VA 22202-2714
(703) 920-5700
(703) 685-0741
Mailing address
268 GRETNA GREEN CT, ALEXANDRIA, VA 22304-5602
(703) 931-4567
(703) 685-0741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004547
VA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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