Individual
GLORIA CRUZ-FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12185 CLIPPER DR, LAKE RIDGE, VA 22192-2236
(703) 496-3486
Mailing address
7928 BRESSINGHAM DR, FAIRFAX STATION, VA 22039-3156
(703) 400-8144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004866
VA
Other
Enumeration date
12/06/2006
Last updated
09/16/2021
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