Individual
DR. KEERTI GOORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13082 AUTUMN WILLOW DR, FAIRFAX, VA 22030-8202
(678) 447-5754
Mailing address
13082 AUTUMN WILLOW DR, FAIRFAX, VA 22030-8202
(678) 447-5754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305212178
VA
225100000X
Physical Therapist
5769
OK
2251P0200X
Pediatric Physical Therapist
Primary
2305212178
VA
261QP2000X
Physical Therapy Clinic/Center
2305212178
VA
Other
Enumeration date
08/02/2018
Last updated
08/29/2023
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