Individual
AMY KORCSMAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 INNOVATION PARK DR STE LL20, FAIRFAX, VA 22031-4870
(571) 472-0490
(571) 472-0491
Mailing address
8100 INNOVATION PARK DR STE LL20, FAIRFAX, VA 22031-4870
(571) 472-0490
(571) 472-0491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214067
VA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2016
Last updated
04/28/2021
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