Individual
MISS CASEY ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
44035 RIVERSIDE PKWY STE 500A, LEESBURG, VA 20176-8278
(703) 858-6667
Mailing address
4290 MARLY GARDEN LN APT 304, FAIRFAX, VA 22033-6411
(716) 913-1276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213110
VA
225100000X
Physical Therapist
62 040456
NY
2251P0200X
Pediatric Physical Therapist
2305213110
VA
Other
Enumeration date
08/22/2016
Last updated
10/02/2023
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