Individual
AANCHAL DOMALAPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6408 GROVEDALE DR STE 102, ALEXANDRIA, VA 22310-2596
(703) 884-8490
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213592
VA
Other
Enumeration date
06/16/2020
Last updated
06/17/2020
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