Individual
MS. ELSIE ALLEN HENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7830
Mailing address
4420 17TH ST N, ARLINGTON, VA 22207-2308
(703) 522-2639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001763
VA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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