Individual
MS. ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
6849 OLD DOMINION DR, STE 221, MC LEAN, VA 22101-3724
(703) 848-9333
Mailing address
11745 MOSSY CREEK LN, RESTON, VA 20191-2950
(571) 357-0760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
030602
NY
225100000X
Physical Therapist
Primary
2305206778
VA
225100000X
Physical Therapist
23266
MD
Other
Enumeration date
11/18/2008
Last updated
09/02/2014
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