Individual
MS. KELLY MARIE CARDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504
(703) 277-6611
(703) 383-0206
Mailing address
5809 COVE LANDING RD APT 304, BURKE, VA 22015-2679
(571) 409-2089
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2306603596
VA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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