Individual
JEANINE MARIE FULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
2 PIDGEON HILL DR STE 350, STERLING, VA 20165
(571) 306-4113
(571) 313-1073
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036084-1
NY
225100000X
Physical Therapist
Primary
2305213125
VA
Other
Enumeration date
03/13/2013
Last updated
01/21/2021
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