Individual
DR. ANDREW ANTHONY GUCCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T, PH.D.
Contact information
Practice address
11641 CAPTAIN RHETT LN, FAIRFAX STATION, VA 22039-1235
(703) 250-5880
Mailing address
11641 CAPTAIN RHETT LN, FAIRFAX STATION, VA 22039-1235
(703) 250-5880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006475
VA
225100000X
Physical Therapist
3412
MA
225100000X
Physical Therapist
PT3019
DC
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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