Individual
MALLORY ELIZABETH AMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
150 ELDEN ST STE 250, HERNDON, VA 20170-4856
(703) 435-0090
(703) 787-8402
Mailing address
150 ELDEN ST STE 250, HERNDON, VA 20170-4856
(703) 435-0090
(703) 787-8402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006568
VA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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