Individual
MARY CONKLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 N QUINCY ST, #1304, ARLINGTON, VA 22203-2079
(571) 236-4881
Mailing address
818 N QUINCY ST, #1304, ARLINGTON, VA 22203-2079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870
DC
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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