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Individual

NICOLE LOBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
4660 KENMORE AVE, SUITE 400, ALEXANDRIA, VA 22304-1313
(703) 751-1008
Mailing address
4660 KENMORE AVE, SUITE 400, ALEXANDRIA, VA 22304-1313
(703) 751-1008

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604211
VA

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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