Individual
MRS. DORIS CHIDINMA MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 VIRGINIA AVE, ALEXANDRIA, VA 22302-3200
(703) 684-9100
Mailing address
3482 AVIARY WAY, WOODBRIDGE, VA 22192-1077
(703) 881-6655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603921
VA
Other
Enumeration date
03/18/2015
Last updated
01/30/2019
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