Individual
MRS. ANDREA LYNN RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4042 WERTHERS CT, FAIRFAX, VA 22030-7462
(703) 691-3242
Mailing address
4042 WERTHERS CT, FAIRFAX, VA 22030-7462
(703) 691-3242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022739-1
NY
225100000X
Physical Therapist
Primary
2305203883
VA
225100000X
Physical Therapist
40QA00878400
NJ
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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