Individual
ALISA ANNE JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 300, FAIRFAX, VA 22031-4513
(571) 472-2160
Mailing address
8260 WILLOW OAKS CORPORATE DR STE 300, FAIRFAX, VA 22031-4513
(571) 472-2160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213183
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
12/27/2018
Last updated
09/13/2024
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