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Individual

SHEENA KIRAN JOSEPH-BALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
4215 BUMBRY TER, FAIRFAX, VA 22030-5514
(571) 344-4483
Mailing address
4215 BUMBRY TER, FAIRFAX, VA 22030-5514
(571) 344-4483

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603161
VA

Other

Enumeration date
08/17/2012
Last updated
08/17/2012
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