Individual
KARA BROSTROM MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9409 OLD BURKE LAKE RD, SUITE K, BURKE, VA 22015-3127
(703) 425-1800
Mailing address
9409 OLD BURKE LAKE RD, SUITE K, BURKE, VA 22015-3127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210341
VA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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