Individual
JILLIAN KIM KASOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3299 WOODBURN RD STE 310, ANNANDALE, VA 22003-7300
(170) 384-9814
Mailing address
7603 LONG PINE DR, SPRINGFIELD, VA 22151-2821
(701) 805-8011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606596
VA
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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