Individual
JEAN ELIZA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3620 JOSEPH SIEWICK DR, STE100A, FAIRFAX, VA 22033-1756
(703) 810-5227
(703) 810-5224
Mailing address
11240 WAPLES MILL RD, STE 403, FAIRFAX, VA 22030
(703) 385-4707
(703) 691-4933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203137
VA
Other
Enumeration date
07/21/2006
Last updated
10/22/2020
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