Individual
CASEY D YURISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8320 OLD COURTHOUSE RD STE 410, VIENNA, VA 22182-3848
(703) 734-2889
(703) 734-2139
Mailing address
8320 OLD COURTHOUSE RD STE 410, VIENNA, VA 22182-3848
(703) 734-2889
(703) 734-2139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
044661
NY
225100000X
Physical Therapist
Primary
2305214520
VA
Other
Enumeration date
08/29/2019
Last updated
07/26/2021
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