Individual
KWANG Y YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14631 LEE HWY, SUITE 115, CENTREVILLE, VA 20121-5824
(703) 825-7130
Mailing address
13452 STREAM VALLEY DR, CHANTILLY, VA 20151-2624
(703) 961-8447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204167
VA
Other
Enumeration date
01/05/2007
Last updated
01/16/2009
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