Individual
JEANNE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7700B GUNSTON PLZ, LORTON, VA 22079-1897
(703) 339-3767
(703) 339-3793
Mailing address
4229 LAFAYETTE CENTER DR STE 1250, CHANTILLY, VA 20151-1266
(703) 263-2020
(703) 263-2015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212380
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23052112380
PT LISCENCE
VA
Enumeration date
10/10/2018
Last updated
06/11/2019
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