Individual
LANDON KEITH OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10400 EATON PL STE 312, FAIRFAX, VA 22030-2208
(703) 391-2450
(703) 995-4860
Mailing address
10400 EATON PL STE 312, FAIRFAX, VA 22030-2208
(703) 995-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203413
VA
Other
Enumeration date
07/22/2005
Last updated
04/19/2023
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