Individual
DANIELA MARIA QUERUBIN MESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2978 CENTREVILLE RD, HERNDON, VA 20171
(703) 934-5000
Mailing address
20532 RESERVE FALLS TER APT 304, STERLING, VA 20165-6566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.021165
IL
225100000X
Physical Therapist
Primary
2305210424
VA
Other
Enumeration date
02/28/2015
Last updated
07/30/2018
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