Individual
BERHANU BEKELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
(703) 257-2976
Mailing address
8744 LORDS VIEW LOOP, GAINESVILLE, VA 20155-5805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001438
VA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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