Individual
GORAN YAKSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5905 NORHAM DR, ALEXANDRIA, VA 22315-4732
(703) 408-2878
Mailing address
5905 NORHAM DR, ALEXANDRIA, VA 22315-4732
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305217494
VA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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