Individual
LIANA CHRISTINE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DP.T.
Contact information
Practice address
8346 TRAFORD LANE, SPRINGFIELD, VA 22152
(703) 913-5705
(703) 913-5706
Mailing address
8346 TRAFORD LANE, SPRINGFIELD, VA 22152
(703) 913-5705
(703) 913-5706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207471
VA
2251X0800X
Orthopedic Physical Therapist
Primary
2305207471
VA
Other
Enumeration date
08/02/2012
Last updated
08/06/2014
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