Individual
ANDREW ANTHONY PRISHACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11230 WAPLES MILL RD, SUITE 130, FAIRFAX, VA 22030-6087
(703) 273-2400
(703) 691-1486
Mailing address
4306 GENERAL KEARNY CT, CHANTILLY, VA 20151-1322
(703) 955-0235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204089
VA
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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