Individual
ALDOUS PETER JOSHUA BARORO ODULIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12185 CLIPPER DR, LAKE RIDGE, VA 22192-2236
(703) 496-3400
Mailing address
3682 CHIPPENDALE CIR, WOODBRIDGE, VA 22193-5355
(347) 410-0253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
010839
CT
225100000X
Physical Therapist
039677
NY
225100000X
Physical Therapist
Primary
2305214744
VA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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