Individual
JOHN J. FAINSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, CSCS
Contact information
Practice address
11800 SUNRISE VALLEY DR, 100, RESTON, VA 20191
(703) 709-1116
(703) 709-5134
Mailing address
11800 SUNRISE VALLEY DR STE 100, RESTON, VA 20191-5309
(703) 709-1116
(703) 709-5134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9576
CO
225100000X
Physical Therapist
Primary
2305207532
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9576
PHYSICAL THERAPY
CO
Enumeration date
05/12/2006
Last updated
01/12/2022
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