Individual
CAROLINA DIAZ-TAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2500 N VAN DORN ST, SUITE 104, ALEXANDRIA, VA 22302-1626
(703) 933-1700
Mailing address
51 MONROE ST, SUITE 1207, ROCKVILLE, MD 20850-2421
(301) 838-2040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204314
VA
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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