Individual
ANUSHA SUNDERARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
19465 DEERFIELD AVE STE 108, LANSDOWNE, VA 20176-1702
(703) 723-4088
Mailing address
19465 DEERFIELD AVE STE 108, LANSDOWNE, VA 20176-1702
(703) 723-4088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23581
MD
225100000X
Physical Therapist
PT871191
DC
2251X0800X
Orthopedic Physical Therapist
Primary
2305207863
VA
Other
Enumeration date
05/09/2011
Last updated
08/21/2014
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