Individual
MS. KRISTIENE DAMPIOS TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
10701 MAIN ST., FAIRFAX, VA 22030
(703) 273-7705
Mailing address
2025 MALEADY DR, HERNDON, VA 20170-4019
(703) 300-6592
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603474
VA
Other
Enumeration date
02/27/2013
Last updated
03/04/2013
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