Individual
JESSE NTAWUTARAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24585 STONE CARVER DR STE 275, ALDIE, VA 20105-3259
(703) 383-1616
(703) 383-1166
Mailing address
24585 STONE CARVER DR STE 275, ALDIE, VA 20105-3259
(703) 383-1616
(703) 383-1166
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305217308
VA
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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