Individual
SHAQUETTA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 373-3494
Mailing address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 586-2207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603913
VA
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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