Individual
DR. DANIEL ELIAS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10461 WHITE GRANITE DR STE 106, OAKTON, VA 22124-2762
(703) 559-6823
(888) 546-3565
Mailing address
3101 VALENTINO CT, OAKTON, VA 22124-2832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216094
VA
Other
Enumeration date
10/25/2023
Last updated
09/12/2024
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