Individual
CIARA PETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7321 WAYNE DR, ANNANDALE, VA 22003-1742
(240) 372-1141
Mailing address
7321 WAYNE DR, ANNANDALE, VA 22003-1742
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213285
VA
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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