Individual
TERESA A EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 CAMERON GLEN DR, RESTON, VA 20190-3308
(703) 834-5950
Mailing address
1931 N CLEVELAND ST, ARLINGTON, VA 22201-4162
(978) 201-9677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602962
VA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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