Individual
JEFFY MARY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 KING ST, ALEXANDRIA, VA 22302-4420
(571) 665-6560
(571) 665-6561
Mailing address
4700 KING ST, ALEXANDRIA, VA 22302-4420
(571) 665-6560
(571) 665-6561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214078
VA
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/29/2019
Last updated
04/28/2021
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