Individual
LOIS BLUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12310 PINECREST RD, RESTON, VA 20191-1653
(703) 490-3389
(703) 490-3390
Mailing address
1103 GRAND HAMPTONS DR, HERNDON, VA 20170-2357
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305005511
VA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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