Individual
ELLIOT J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19450 DEERFIELD AVE, LANSDOWNE, VA 20176-6820
(703) 560-3190
Mailing address
8316 ARLINGTON BLVD, SUITE 232, FAIRFAX, VA 22031-5207
(703) 560-3190
(703) 560-3194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207094
VA
225100000X
Physical Therapist
23779
MD
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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