Individual
JOLENE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
2212 MOUNT VERNON AVE, CORE WELLNESS AND PHYSICAL THERAPY, ALEXANDRIA, VA 22301-1356
(703) 599-0634
Mailing address
1200 N QUAKER LN, ALEXANDRIA, VA 22302-3004
(703) 599-0634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20693
MD
225100000X
Physical Therapist
Primary
2305206757
VA
Other
Enumeration date
12/17/2006
Last updated
12/10/2012
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