Individual
KELLY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 REINEKERS LN, ALEXANDRIA, VA 22314-2856
(703) 299-3111
Mailing address
225 REINEKERS LN, ALEXANDRIA, VA 22314-2856
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305214773
VA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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