Individual
JESSICA FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
11800 SUNRISE VALLEY DR FL 8, RESTON, VA 20191-5300
(703) 709-1114
Mailing address
11800 SUNRISE VALLEY DR STE 800, RESTON, VA 20191-5320
(703) 709-1114
(703) 709-6646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007907
VA
Other
Enumeration date
06/02/2021
Last updated
12/22/2021
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