Individual
KOJI INOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2280 OPITZ BLVD STE 310, WOODBRIDGE, VA 22191-3362
(703) 523-1680
Mailing address
2280 OPITZ BLVD STE 310, WOODBRIDGE, VA 22191-3362
(703) 523-1680
(571) 589-2009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306605971
VA
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
01/11/2023
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