Individual
ASMITA AMBARDEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575
Mailing address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24792
MD
Other
Enumeration date
11/14/2013
Last updated
05/19/2015
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