Individual
MS. BROADWIN B ADESEGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
43490 YUKON DR STE 212, ASHBURN, VA 20147-7326
(703) 729-7920
(703) 729-7923
Mailing address
657 NATHANIEL CHASE LN, HERNDON, VA 20170-4970
(703) 826-3743
(206) 339-2959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204402
VA
Other
Enumeration date
11/06/2006
Last updated
10/17/2022
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