Individual
CARISSA KRAFT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5618 OX RD, SUITE H, FAIRFAX STATION, VA 22039-1018
(703) 426-4949
Mailing address
10536 FALKIRK WAY, MANASSAS, VA 20109-6488
(301) 431-3572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305202333
LICENSE #
VA
Enumeration date
08/30/2006
Last updated
08/27/2007
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