Individual
GABRIELLE HAN QUYNH NANG NGHIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5900 FORT DR STE 208, CENTREVILLE, VA 20121-2425
(703) 830-6360
(703) 830-6362
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
(703) 830-6360
(703) 830-6362
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2305214690
VA
225100000X
Physical Therapist
Primary
2305214690
VA
Other
Enumeration date
09/07/2021
Last updated
07/19/2022
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