Individual
LEKHA J SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7560 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 753-1005
(703) 753-2207
Mailing address
7560 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 753-1005
(703) 753-2207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205018
VA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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