Individual
NADINE DULKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 MAIN ST, FAIRFAX, VA 22031-3907
(571) 432-3100
Mailing address
1640 REDSTONE CENTER DR STE 200, PARK CITY, UT 84098-7607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603198
VA
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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