Individual
KATHRYN ELIZABETH CANYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4001 FAIR RIDGE DR, SUITE 203, FAIRFAX, VA 22033-2917
(703) 865-7680
(703) 865-7683
Mailing address
11084 WAINWRIGHT PL, MANASSAS, VA 20109-8274
(703) 881-8201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602837
VA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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