Individual
JENNIFER RICHMOND SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9269A OLD KEENE MILL RD, BURKE, VA 22015-4202
(703) 455-0115
Mailing address
7732 ASTERELLA CT, SPRINGFIELD, VA 22152-3141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11011
NC
Other
Enumeration date
04/04/2007
Last updated
11/20/2023
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