Individual
IRENE PIOL DIOLAZO CONLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
(703) 257-9770
Mailing address
10631 WINFIELD LOOP, MANASSAS, VA 20109-8227
(571) 358-5139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033610
NY
225100000X
Physical Therapist
Primary
2305207407
VA
225100000X
Physical Therapist
23838
MD
Other
Enumeration date
06/07/2011
Last updated
06/27/2012
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