Individual
AMANDA PAULINE DAUGHERTY-WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21785 FILIGREE CT, ASHBURN, VA 20147-6213
(703) 723-8800
(703) 723-4134
Mailing address
21785 FILIGREE CT, ASHBURN, VA 20147-6213
(703) 723-8800
(703) 723-4134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211979
VA
225100000X
Physical Therapist
26990
MD
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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