Individual
KIERSTIN MIREKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10521 ROSEHAVEN ST, # 150 LL, FAIRFAX, VA 22030
(703) 383-1616
Mailing address
10521 ROSEHAVEN ST, # 150 LL, FAIRFAX, VA 22030-2889
(703) 383-1616
(703) 383-1166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215313
VA
Other
Enumeration date
08/18/2022
Last updated
07/18/2023
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