Individual
REBKA S TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9701 KINGS CROWN CT, 102, FAIRFAX, VA 22031-5006
(703) 405-1519
Mailing address
9701 KINGS CROWN CT, 102, FAIRFAX, VA 22031-5006
(703) 405-1519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603348
VA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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