Individual
DOROTHY SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6850 VERSAR CTR STE 241, SPRINGFIELD, VA 22151-4148
(703) 256-3400
Mailing address
2912 LINDEN LN, FALLS CHURCH, VA 22042-2314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305002743
LICENSE#
VA
Enumeration date
04/10/2007
Last updated
07/08/2007
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