Organization
NORTHERN VIRGINIA HAND THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA JILL WALLACE (OWNER)
(703) 544-7171
Entity
Organization
Contact information
Practice address
20925 PROFESSIONAL PLAZA, SUITE 300, ASHBURN, VA 20147
(703) 544-7171
(703) 997-4450
Mailing address
20925 PROFESSIONAL PLAZA, SUITE 300, ASHBURN, VA 20147
(703) 544-7171
(703) 997-4450
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119005354
VA
261QP2000X
Physical Therapy Clinic/Center
0119005354
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073730636
NPI
VA
Enumeration date
05/15/2014
Last updated
12/09/2020
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