Individual
BRENT CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1831 WIEHLE AVE, 2ND FLOOR, RESTON, VA 20190
(703) 709-1116
(571) 323-6138
Mailing address
PO BOX 630680, BALTIMORE, MD 21263
(703) 709-1116
(571) 323-6138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206536
VA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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