Individual
ROBERT FITZGERALD PEREDDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1739 KIRBY RD, MC LEAN, VA 22101-4817
(703) 506-6900
Mailing address
5113 HARFORD LN, BURKE, VA 22015-1544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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