Individual
MARLENE MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12816 VALLEYHILL ST, WOODBRIDGE, VA 22192-6419
(703) 718-5909
Mailing address
12816 VALLEYHILL ST, WOODBRIDGE, VA 22192-6419
(703) 718-5909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1192610
TX
225100000X
Physical Therapist
Primary
2305212097
VA
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/26/2018
Last updated
01/11/2021
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