Individual
CHARLOTTE A DRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20905 PROFESSIONAL PLZ, SUITE 110, ASHBURN, VA 20147-7783
(703) 726-1616
(703) 726-1613
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4360
(703) 279-4214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204654
VA
Other
Enumeration date
07/11/2007
Last updated
05/20/2010
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