Individual
JACQUELINE KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6201 CENTREVILLE RD, SUITE 500, CENTREVILLE, VA 20121-2626
(703) 263-2095
(703) 263-2098
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4394
(703) 279-4214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204295
VA
Other
Enumeration date
07/22/2005
Last updated
10/14/2008
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