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Individual

BARBARA KERKOFF SEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
8986 LORTON STATION BLVD, STE 202, LORTON, VA 22079-4753
(703) 546-0013
(703) 546-0014
Mailing address
8986 LORTON STATION BLVD, STE 202, LORTON, VA 22079-4753
(703) 546-0013
(703) 546-0014

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15580
MD
225100000X
Physical Therapist
Primary
2305210126
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
338063
MAMSI LIFE MD IPA
MD
01
LK24AT
CF BLUE CROSS BLUE SHIELD
MD
01
S9860008
CF BLUE CROSS BLUE SHIELD
DC
Enumeration date
01/22/2007
Last updated
08/31/2016
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