Individual
MRS. LEESA FOSTER BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
10105 CROOKED CREEK CT, FAIRFAX STATION, VA 22039-2955
(703) 477-5743
Mailing address
10105 CROOKED CREEK CT, FAIRFAX STATION, VA 22039-2955
(703) 477-5743
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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