Individual
LYUSYENA TEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC; PT, DPT
Contact information
Practice address
11662 SUDLEY MANOR DR STE 50-B, MANASSAS, VA 20109
(571) 321-5720
(571) 365-0272
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211745
VA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/27/2018
Last updated
07/02/2018
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