Individual
MRS. LORI JEAN SEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 MONTGOMERY AVE, WOODBRIDGE, VA 22191-2655
(703) 490-6517
(703) 490-3525
Mailing address
8077 STILLBROOKE RD, MANASSAS, VA 20112-4631
(703) 794-1529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000927
VA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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