Individual
CHYNNA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 360-4000
Mailing address
8400 LENASKIN LN, DISTRICT HEIGHTS, MD 20747-2583
(202) 907-8245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP010738T
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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