Individual
MR. CARLO MIKHAIL LOCSIN CAPULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4706 NATHAN HALE DR, APARTMENT 201, ANNANDALE, VA 22003-4984
(240) 479-0774
Mailing address
4706 NATHAN HALE DR, APARTMENT 201, ANNANDALE, VA 22003-4984
(240) 479-0774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01894300
NJ
Other
Enumeration date
01/11/2012
Last updated
02/06/2024
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