Individual
SARBJEET S GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
171 ELDEN ST STE 140, HERNDON, VA 20170-4834
(703) 866-6323
Mailing address
46152 AISQUITH TER, STERLING, VA 20165-8726
(571) 286-8789
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605100
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306605100
LICENSE
VA
Enumeration date
03/28/2023
Last updated
11/22/2024
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