Individual
MALLOREE DIANNE ESCUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
43330 JUNCTION PLZ STE 122, ASHBURN, VA 20147-3407
(703) 972-1040
Mailing address
13175 MARINA WAY APT 356, WOODBRIDGE, VA 22191-1266
(407) 756-8376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214542
VA
Other
Enumeration date
08/04/2021
Last updated
08/10/2021
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