Individual
EDWIN GABRIEL TELLO SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5663 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2868
(703) 671-1871
Mailing address
25543 FELTRE TER, CHANTILLY, VA 20152-6100
(571) 502-3845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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