Individual
HANNA CHARNYSHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 CAMERON GLEN DR, RESTON, VA 20190-3308
(703) 834-5950
Mailing address
42529 HIGHGATE TER, ASHBURN, VA 20148-6424
(757) 839-7136
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602741
VA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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