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Individual

DR. CARLA J BOUMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6355 WALKER LN STE 204, ALEXANDRIA, VA 22310-3257
(703) 810-5211
(703) 810-5494
Mailing address
11240 WAPLES MILL RD STE 403, FAIRFAX, VA 22030-6078
(703) 383-6454
(703) 810-5494

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204072
VA

Other

Enumeration date
08/23/2011
Last updated
07/21/2022
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