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Individual

DR. PAUL DAVID ELLINGTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
11800 SUNRISE VALLEY DR, RESTON, VA 20191-5300
(703) 709-1116
(703) 709-5134
Mailing address
11800 SUNRISE VALLEY DR, RESTON, VA 20191-5300

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211470
VA
2251X0800X
Orthopedic Physical Therapist
Primary
2305211470
VA

Other

Enumeration date
09/18/2017
Last updated
04/29/2024
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