Individual
MRS. AILEEN C. ANDOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Contact information
Practice address
9447B LORTON MARKET ST, SUITE 250, LORTON, VA 22079-1963
(703) 372-5716
(703) 372-5718
Mailing address
9447B LORTON MARKET ST, SUITE 250, LORTON, VA 22079-1963
(703) 372-5716
(703) 372-5718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204243
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F8710008
CAREFIRST BLUE CROSS BLUE SHIELD
DC
Enumeration date
07/14/2006
Last updated
01/09/2015
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