Individual
SUE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 K ST NW STE 750, WASHINGTON, DC 20006-1023
(202) 775-5951
Mailing address
2021 K ST NW STE 750, WASHINGTON, DC 20006-1023
(202) 293-1853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20786
MD
225100000X
Physical Therapist
2305203500
VA
225100000X
Physical Therapist
Primary
PT870539
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT870539
LICSENSE #
DC
Enumeration date
08/30/2006
Last updated
09/24/2024
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