Individual
LENA S FERNANDES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MHS,PT
Contact information
Practice address
1840 MICHAEL FARADAY DR, SUITE #110, RESTON, VA 20190-5347
(703) 980-9482
Mailing address
9712 BARLOW RD, FAIRFAX, VA 22031-3503
(703) 980-9482
(703) 787-3051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203170
VA
Other
Enumeration date
07/11/2005
Last updated
07/08/2007
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