Individual
ALAINA ELIZABETH WILL PROVENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-4180
Mailing address
3931 4TH ST N, APT 4, ARLINGTON, VA 22203-3323
(773) 885-7328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT871147
DC
Other
Enumeration date
01/04/2010
Last updated
02/09/2017
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