Individual
MISS KELLY G MADIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
432 MADISON FOREST DR, HERNDON, VA 20170-3329
(703) 581-7467
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(703) 581-7467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20657
MA
225100000X
Physical Therapist
Primary
PT871555
DC
Other
Enumeration date
08/30/2013
Last updated
09/18/2013
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