Individual
JEFFREY CHASE FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19455 DEERFIELD AVE, SUITE 309, LANSDOWNE, VA 20176-8100
(703) 729-5010
Mailing address
19455 DEERFIELD AVE, SUITE 309, LANSDOWNE, VA 20176-8100
(703) 729-5010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209648
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790815645
NPI
VA
Enumeration date
07/30/2015
Last updated
07/30/2015
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