Individual
MRS. ALESA JUSTINE DETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8401 GREENSBORO DRIVE, STE 120, MCLEAN, VA 22102
(301) 530-1010
Mailing address
3026 ROSEMARY LN, FALLS CHURCH, VA 22042-1841
(308) 672-1812
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305206500
VA
Other
Enumeration date
08/03/2010
Last updated
10/31/2024
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