Individual
MAITHILI PATIBANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
(703) 257-0835
Mailing address
24608 VIRGINIA DOGWOOD PL, ALDIE, VA 20105-5981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008782A
IN
225100000X
Physical Therapist
Primary
2305206413
VA
Other
Enumeration date
07/29/2008
Last updated
05/06/2026
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