Individual
ALICE CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8348 TRAFORD LN, SUITE 100, SPRINGFIELD, VA 22152-1663
(703) 569-7335
(703) 569-0665
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4360
(703) 279-4214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305-002417
VA
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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