Individual
MRS. AMY G PEDULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1884 VIRGINIA AVE, MC LEAN, VA 22101-4934
(703) 534-1352
Mailing address
1884 VIRGINIA AVE, MC LEAN, VA 22101-4934
(703) 534-1352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209992
VA
Other
Enumeration date
10/04/2016
Last updated
10/26/2016
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