Individual
MRS. JEAN ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2863 HUNTER MILL RD, OAKTON, VA 22124-1702
(703) 255-1006
Mailing address
10700 HUNTERS VALLEY RD, VIENNA, VA 22181-3020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602888
VA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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