Individual
MRS. ELLEN GRACE VILLAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, DPT
Contact information
Practice address
150 ELDEN ST, SUITE 242, HERNDON, VA 20170-4861
(703) 689-3737
(703) 689-3889
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
(540) 687-8181
(540) 687-8256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203666
VA
Other
Enumeration date
03/23/2007
Last updated
11/19/2012
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