Individual
DENISE RICHMOND FURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8509 FOREST ST, ANNANDALE, VA 22003-3623
(703) 609-2109
Mailing address
8509 FOREST ST, ANNANDALE, VA 22003-3623
(703) 609-2109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000548
VA
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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