Individual
KATHERINE RAE TAJIRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4601 IRONBOUND RD, WILLIAMSBURG, VA 23188-2648
(757) 253-5161
Mailing address
7395 DIASCUND CREEK WAY, NEW KENT, VA 23124-2074
(973) 868-4539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213316
VA
225100000X
Physical Therapist
40QA01411400
NJ
Other
Enumeration date
02/11/2012
Last updated
02/18/2020
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