Individual
JAKE PLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9447B LORTON MARKET ST, SUITE 250, LORTON, VA 22079-1963
(703) 372-5716
Mailing address
9447B LORTON MARKET ST, SUITE 250, LORTON, VA 22079-1963
(703) 372-5716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209429
VA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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