Individual
MISS CAROLYN DRISLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(712) 312-2905
Mailing address
4710 31ST ST S, ARLINGTON, VA 22206-1608
(518) 817-2687
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305212289
VA
261QP2000X
Physical Therapy Clinic/Center
2305212289
VA
Other
Enumeration date
09/05/2018
Last updated
10/24/2023
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