Individual
MARY MEADOWS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13039 WORLDGATE DR, HERNDON, VA 20170-4374
(703) 742-8758
(703) 742-8952
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4394
(703) 279-4214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003835
VA
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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