Individual
MRS. THERESA B GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1715 N GEORGE MASON DR STE 503, ARLINGTON, VA 22205-3669
(703) 525-5542
Mailing address
1715 N GEORGE MASON DR STE 503, ARLINGTON, VA 22205-3669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305002720
VA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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