Individual
LUKE CANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9447B LORTON MARKET ST # 250, LORTON, VA 22079-1963
(703) 372-5712
(888) 965-8857
Mailing address
9447B LORTON MARKET ST # 250, LORTON, VA 22079-1963
(703) 372-5712
(888) 965-8857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214865
VA
Other
Enumeration date
01/10/2022
Last updated
02/07/2022
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