Individual
KATERINA DABOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
Mailing address
9006 WINDFLOWER LN, ANNANDALE, VA 22003-4057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210220
VA
225100000X
Physical Therapist
33744
CA
Other
Enumeration date
08/16/2007
Last updated
04/02/2020
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