Individual
IRINI GOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY
Contact information
Practice address
3914 CENTREVILLE RD, STE 240, CHANTILLY, VA 20151-3289
(703) 689-2251
(703) 689-2254
Mailing address
3914 CENTREVILLE RD, STE 240, CHANTILLY, VA 20151-3289
(703) 689-2251
(703) 689-2254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210905
VA
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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