Individual
ANGELE FRANCINE OMADJELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14524 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6803
(703) 490-6726
Mailing address
17293 WEXFORD LOOP, DUMFRIES, VA 22026-3333
(571) 494-7558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213283
VA
Other
Enumeration date
11/05/2019
Last updated
12/23/2020
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