Individual
MICHAEL DYLAN SIMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8312 GREELEY BLVD, SPRINGFIELD, VA 22152-2904
(571) 512-1478
Mailing address
8312 GREELEY BLVD, SPRINGFIELD, VA 22152-2904
(571) 512-1478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604516
VA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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