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Individual

ALYSIA JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
11240 WAPLES MILL RD, SUITE 403, FAIRFAX, VA 22030-6078
(703) 383-6454
(703) 810-5494
Mailing address
8501 ARLINGTON BLVD, SUITE 400, FAIRFAX, VA 22031-4617
(703) 383-6454
(703) 810-5494

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210009
VA

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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