Individual
MS. JILL MARIE MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 834-9800
Mailing address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 834-9800
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000375
VA
225100000X
Physical Therapist
15151
MA
225100000X
Physical Therapist
22448
CA
225100000X
Physical Therapist
Primary
2305204248
VA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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