Individual
FERNAN LANCE PASCO OCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, RPT
Contact information
Practice address
1131 WALKER RD, GREAT FALLS, VA 22066-1816
(703) 223-5226
Mailing address
6309 FARMVIEW CT, CLINTON, MD 20735-2600
(171) 830-7924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29288
MD
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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