Organization
INNER CORE WELLNESS LLC
Active
Organization
INNER CORE WELLNESS LLC
Active
Other names
Inner Core Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOURDES SISON-WRIGHT PT (OWNER/PHYSICAL THERAPIST)
(703) 506-1010
Entity
Organization
Contact information
Practice address
2108 GALLOWS RD, SUITE A, VIENNA, VA 22182-3980
(703) 506-1010
(703) 763-2333
Mailing address
2108 GALLOWS RD, SUITE A, VIENNA, VA 22182-3980
(703) 506-1010
(703) 763-2333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004830
VA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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