Individual
MRS. BONNIE KANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3750 OLD LEE HWY, FAIRFAX, VA 22030-1806
(703) 246-7139
Mailing address
14527 PICKET OAKS RD, CENTREVILLE, VA 20121-2358
(703) 222-3985
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305003415
VA
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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