Individual
JEANNINE M BURGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 400, FAIRFAX, VA 22031-5207
(703) 205-1919
(703) 560-3194
Mailing address
8316 ARLINGTON BLVD, SUITE 400, FAIRFAX, VA 22031-5207
(703) 205-1919
(703) 560-3194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003016
VA
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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