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Individual

ALISSA SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7912 JOURNEY LN, SPRINGFIELD, VA 22153-2725
(703) 973-8031
Mailing address
7912 JOURNEY LN, SPRINGFIELD, VA 22153-2725
(703) 973-8031

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209527
VA
261QP2000X
Physical Therapy Clinic/Center
2305209527
VA

Other

Enumeration date
08/24/2015
Last updated
06/11/2021
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