Individual
MAKENNA PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
204 MILL ST NE, VIENNA, VA 22180-4500
(703) 991-8156
Mailing address
9655 BRADFORD KNOLL DR, FISHERS, IN 46037-9089
(317) 626-2470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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