Individual
LUIS CARLOS MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
510 S. WASHINGTON ST., STE A, FALLS CHURCH, VA 22046
(703) 992-7255
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 373-2919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1315625
TX
225100000X
Physical Therapist
Primary
CP010526T
VA
Other
Enumeration date
08/14/2019
Last updated
08/15/2022
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