Individual
DIVYA BOSE DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1920 BALLENGER AVE STE 200, ALEXANDRIA, VA 22314-6894
(703) 810-5284
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216165
VA
Other
Enumeration date
11/13/2023
Last updated
11/28/2023
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