Individual
ELISSA H FEDEROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, NCS
Contact information
Practice address
5249 DUKE ST, STE 203, ALEXANDRIA, VA 22304-2926
(703) 751-1733
(703) 370-7209
Mailing address
3918 TERRACE DR, ANNANDALE, VA 22003-1853
(703) 642-9176
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
2305202026
VA
Other
Enumeration date
02/27/2008
Last updated
05/22/2008
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