Individual
JULIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5900 FORT DR STE 208, CENTREVILLE, VA 20121-2425
(703) 830-6360
Mailing address
11759 BAYFIELD CT, RESTON, VA 20194-1814
(804) 658-6148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211321
VA
Other
Enumeration date
07/28/2017
Last updated
11/13/2024
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