Individual
CAMILLA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46161 WESTLAKE DR, SUITE 330, STERLING, VA 20165-5871
(703) 444-9562
(703) 430-2124
Mailing address
46161 WESTLAKE DR, SUITE 330, STERLING, VA 20165-5871
(703) 444-9562
(703) 430-2124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207669
VA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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