Individual
MISS JAMIE M SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7900 WESTPARK DR STE A30, MC LEAN, VA 22102-4241
(703) 650-8824
(703) 848-0889
Mailing address
1204 N INGLEWOOD ST, ARLINGTON, VA 22205-2461
(703) 622-0603
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305203639
VA
Other
Enumeration date
07/04/2006
Last updated
02/22/2020
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