Individual
MRS. KATHERINE AVERNA MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
21000 EDUCATION CT, BROADLANDS, VA 20148-5526
(571) 252-1100
(212) 679-7868
Mailing address
21000 EDUCATION CT, BROADLANDS, VA 20148-5526
(703) 338-5115
(571) 252-1045
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305005415
VA
Other
Enumeration date
08/17/2010
Last updated
05/15/2023
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