Individual
MRS. IRENE JOYCE HENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145
(703) 578-7662
(703) 578-7129
Mailing address
5718 EVERGREEN KNOLL CT, ALEXANDRIA, VA 22303-1052
(804) 306-1366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005891
VA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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