Individual
ESTEBAN APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 N WASHINGTON ST STE A, ALEXANDRIA, VA 22314-3176
(703) 837-0010
Mailing address
6133 ACACIA ST NW, ALBUQUERQUE, NM 87120-3058
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605790
VA
2255A2300X
Athletic Trainer
0126002673
VA
Other
Enumeration date
03/07/2017
Last updated
09/13/2021
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