Individual
ELISHA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1501 DUKE ST, SUITE 150, ALEXANDRIA, VA 22314-3468
(703) 535-5491
(703) 535-5494
Mailing address
1501 DUKE ST, SUITE 150, ALEXANDRIA, VA 22314-3468
(703) 535-5491
(703) 535-5494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206648
VA
225100000X
Physical Therapist
PT871042
DC
Other
Enumeration date
07/28/2009
Last updated
04/05/2012
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