Individual
ANDREA ABDUL-HAQQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6013 CHESTNUT HOLLOW CT, CENTREVILLE, VA 20121-3044
(301) 256-4676
Mailing address
6013 CHESTNUT HOLLOW CT, CENTREVILLE, VA 20121-3044
(301) 256-4676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210951
VA
2251P0200X
Pediatric Physical Therapist
2305210951
VA
2251P0200X
Pediatric Physical Therapist
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—
Other
Enumeration date
08/16/2015
Last updated
03/03/2020
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