Individual
JENNIFER TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44035 RIVERSIDE PKWY STE 500, LEESBURG, VA 20176-8273
(703) 858-6667
Mailing address
43150 BROADLANDS CENTER PLZ STE 124, PO BOX 4053, BROADLANDS, VA 20148-3808
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305214353
VA
Other
Enumeration date
04/07/2025
Last updated
04/14/2025
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