Individual
JERON MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15195 HEATHCOTE BLVD STE 334, HAYMARKET, VA 20169-6244
(703) 334-5405
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-2626
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305209466
VA
Other
Enumeration date
06/07/2015
Last updated
02/09/2023
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